Provider Demographics
NPI:1396755765
Name:ANTHONY R HARLACHER DMD, PC
Entity type:Organization
Organization Name:ANTHONY R HARLACHER DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:HARLACHER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:570-368-2925
Mailing Address - Street 1:30 CHOATE CIR
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:MONTOURSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17754-9791
Mailing Address - Country:US
Mailing Address - Phone:570-368-2925
Mailing Address - Fax:570-368-2926
Practice Address - Street 1:30 CHOATE CIR
Practice Address - Street 2:SUITE ONE
Practice Address - City:MONTOURSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17754-9791
Practice Address - Country:US
Practice Address - Phone:570-368-2925
Practice Address - Fax:570-368-2926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS027727L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty