Harmon, Dylan Lane
Harmon, Dylan Lane is an individual health care provider with primary practice located at 1445 N 400 E # 3A , North Logan UT 84341-7564. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Harmon, Dylan Lane can be contacted via phone (435) 363-3595.Contact Information
Primary practice address
1445 N 400 E # 3A
North Logan UT 84341-7564
Phone: (435) 363-3595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 11769010-9922 | Utah |
Profile Details
| NPI number | 1205454113 |
|---|---|
| LBN Legal business name | Harmon, Dylan Lane |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2020 |
| Last updated | Jul 7th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205454113 | NPPES |
| Utah | Other | 11769010-8903 | UTAH DOPL |
| Utah | Other | 11769010-9922 | UTAH DOPL |
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