Provider Demographics
NPI:1215146527
Name:HARPER, BARNEY H (DDS)
Entity type:Individual
Prefix:DR
First Name:BARNEY
Middle Name:H
Last Name:HARPER
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 1:203 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:KINDER
Mailing Address - State:LA
Mailing Address - Zip Code:70648-3538
Mailing Address - Country:US
Mailing Address - Phone:337-738-3102
Mailing Address - Fax:337-738-3102
Practice Address - Street 1:203 1ST AVE
Practice Address - Street 2:
Practice Address - City:KINDER
Practice Address - State:LA
Practice Address - Zip Code:70648-3538
Practice Address - Country:US
Practice Address - Phone:337-738-3102
Practice Address - Fax:337-738-3102
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA41861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice