Provider Demographics
NPI:1679399406
Name:HARMONY DENTISTRY OF FORTVILLE, LLC
Entity type:Organization
Organization Name:HARMONY DENTISTRY OF FORTVILLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:260-349-8156
Mailing Address - Street 1:3825 HEARTHSTONE DR
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-5515
Mailing Address - Country:US
Mailing Address - Phone:765-336-9368
Mailing Address - Fax:
Practice Address - Street 1:406 S MAPLE ST
Practice Address - Street 2:
Practice Address - City:FORTVILLE
Practice Address - State:IN
Practice Address - Zip Code:46040-1675
Practice Address - Country:US
Practice Address - Phone:260-349-8156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty