Provider Demographics
NPI:1679528657
Name:HARMAN-TINNEL, SARINA MICHELLE (DDS)
Entity type:Individual
Prefix:DR
First Name:SARINA
Middle Name:MICHELLE
Last Name:HARMAN-TINNEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11644 W 75TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1372
Mailing Address - Country:US
Mailing Address - Phone:913-962-0036
Mailing Address - Fax:
Practice Address - Street 1:11644 W 75TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66214-1372
Practice Address - Country:US
Practice Address - Phone:913-962-0036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60456122300000X
MO2005-0160741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Not Answered1223G0001XDental ProvidersDentistGeneral Practice