Provider Demographics
NPI:1962570630
Name:BRIEN V. HARVEY, DDS, MS
Entity type:Organization
Organization Name:BRIEN V. HARVEY, DDS, MS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIEN
Authorized Official - Middle Name:VOORHEES
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:520-745-5722
Mailing Address - Street 1:899 N WILMOT RD STE E2
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-1713
Mailing Address - Country:US
Mailing Address - Phone:520-745-5722
Mailing Address - Fax:520-745-2991
Practice Address - Street 1:899 N WILMOT RD STE E2
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-1713
Practice Address - Country:US
Practice Address - Phone:520-745-5722
Practice Address - Fax:520-745-2991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ36241223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty