Provider Demographics
NPI:1447555164
Name:HARRY V. PATCHIN,DMD,PC
Entity type:Organization
Organization Name:HARRY V. PATCHIN,DMD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:VERNON
Authorized Official - Last Name:PATCHIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:717-761-1300
Mailing Address - Street 1:407 S 32ND ST
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-5105
Mailing Address - Country:US
Mailing Address - Phone:717-761-1300
Mailing Address - Fax:717-761-3413
Practice Address - Street 1:407 S 32ND ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-5105
Practice Address - Country:US
Practice Address - Phone:717-761-1300
Practice Address - Fax:717-761-3413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS023688L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty