Provider Demographics
NPI:1194255661
Name:HARR, GABRIEL KEITH (DDS)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:KEITH
Last Name:HARR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2361 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-3558
Mailing Address - Country:US
Mailing Address - Phone:801-372-6482
Mailing Address - Fax:
Practice Address - Street 1:153 S PAYNE STEWART DR
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-2792
Practice Address - Country:US
Practice Address - Phone:417-544-1570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20220016221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice