Provider Demographics
NPI:1992114763
Name:RICHARD L. HARVEY, D.D.S., PLLC
Entity type:Organization
Organization Name:RICHARD L. HARVEY, D.D.S., PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-989-9010
Mailing Address - Street 1:12999 W BOWLES DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-4641
Mailing Address - Country:US
Mailing Address - Phone:303-989-9010
Mailing Address - Fax:
Practice Address - Street 1:12999 W BOWLES DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4641
Practice Address - Country:US
Practice Address - Phone:303-989-9010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00009510122300000X
CODEN.00201853122300000X
CO10062122300000X
CO9645122300000X
CO9389122300000X
CO96921223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty