Provider Demographics
NPI:1356391684
Name:MIDDLEBERG, HAROLD L (DMD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:L
Last Name:MIDDLEBERG
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:2137 WELSH ROAD
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115
Mailing Address - Country:US
Mailing Address - Phone:215-676-7846
Mailing Address - Fax:215-676-9384
Practice Address - Street 1:2137 WELSH ROAD
Practice Address - Street 2:SUITE 1B
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115
Practice Address - Country:US
Practice Address - Phone:215-676-7846
Practice Address - Fax:215-676-9384
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS025198-L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics