Provider Demographics
NPI:1144374570
Name:HARBOUR, JOHN P (DDS MSD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:HARBOUR
Suffix:
Gender:M
Credentials:DDS MSD
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Mailing Address - Street 1:200 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:DONALDSONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70346-2528
Mailing Address - Country:US
Mailing Address - Phone:225-473-6434
Mailing Address - Fax:225-927-1817
Practice Address - Street 1:200 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:DONALDSONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70346-2528
Practice Address - Country:US
Practice Address - Phone:225-473-6434
Practice Address - Fax:225-927-1817
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2014-06-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA32891223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics