NPI 1114924933

Timothy R. Harbolt, DMD

Organisation General Practice Dentistry Keizer, OR

Practice location

Address: 4734 River Rd N, Keizer, OR 97303-4536
Phone: (503) 463-4663
Fax: (503) 463-4666

Authorised official

Name: Timothy R. Harbolt
Title: President
Phone: (503) 551-6349

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D6816 (OR)

Other Dentist providers in Oregon →

Registry record

NPI: 1114924933
Entity type: Organization
NPI issued: 7 Jul 2005
Record last updated: 10 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.