Provider Demographics
NPI:1306047832
Name:HARALAMBAKIS, ELIAS (DDS)
Entity type:Individual
Prefix:DR
First Name:ELIAS
Middle Name:
Last Name:HARALAMBAKIS
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 1:4814 SIX FORKS RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-5246
Mailing Address - Country:US
Mailing Address - Phone:919-783-5550
Mailing Address - Fax:919-791-1990
Practice Address - Street 1:19 E FRONT ST
Practice Address - Street 2:BOX 2227
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-6682
Practice Address - Country:US
Practice Address - Phone:910-814-2944
Practice Address - Fax:910-893-6815
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC71351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC899019WMedicaid