NPI 1003177601

Dominique Glennon Harter, DDS

Practitioner Dentist Cape Girardeau, MO

Practice location

Address: 2857 Independence St, Cape Girardeau, MO 63703-5015
Phone: (573) 335-4646

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 2012015480 (MO)

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Registry record

NPI: 1003177601
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2012
Record last updated: 2 Jul 2014

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.