Dr. Jerry D Harl, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Osage Beach, MO. Individual provider (NPI-1).
NPI number1023178571
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1023178571
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jerry D Harl
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 010099 | MO | Yes |
Practice location
5816 Hwy 54Suite 107
Osage Beach, MO 65065
Phone 573-348-3127 · Fax 573-348-1910
Mailing address
802 Stewart RoadColumbia, MO 65203
Phone 573-875-4143 · Fax 573-449-9200
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