Provider Demographics
NPI:1154202299
Name:HARSHBARGER, HANNAH (DDS)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:HARSHBARGER
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 1:308 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DEFOREST
Mailing Address - State:WI
Mailing Address - Zip Code:53532-1141
Mailing Address - Country:US
Mailing Address - Phone:608-842-0699
Mailing Address - Fax:608-842-2032
Practice Address - Street 1:308 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DEFOREST
Practice Address - State:WI
Practice Address - Zip Code:53532-1141
Practice Address - Country:US
Practice Address - Phone:608-842-0699
Practice Address - Fax:608-842-2032
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6001970151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice