Individual
DR. MARK ALLEN HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS025798L
PA
1223P0221X
Pediatric Dentistry
Primary
DS02579L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013903400002
MEDICAL ASSISTANCE
PA
01
—
411973
UNITED CONCORDIA
PA
01
—
89821
UNISON
PA
Enumeration date
01/22/2007
Last updated
10/29/2007
Update your record
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