Individual
DR. THADDEUS HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
255 W 36TH ST, JASPER, IN 47546-7849
(812) 482-1060
Mailing address
255 W 36TH ST, JASPER, IN 47546-7849
(812) 482-1060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013633A
IN
Other
Enumeration date
04/28/2021
Last updated
03/10/2023
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