NPI 1649464850

Jeffrey C, Harvey D.D.S., Sc.D., P.A.

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Moorhead, MN

Practice location

Address: 1550 30th Ave S, Moorhead, MN 56560-5150
Phone: (218) 236-1322
Fax: (218) 236-0719

Authorised official

Name: Jeffrey Clyde Harvey
Title: Owner
Phone: (218) 236-1322

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence D10196 (MN)

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Registry record

NPI: 1649464850
Entity type: Organization
NPI issued: 30 Aug 2007
Record last updated: 30 Aug 2007

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.