Healthcare Provider Details

I. General information

NPI: 1346468733
Provider Name (Legal Business Name): MEREDITH ANNE HARRIS MD, DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 POTOMAC ST SUITE #306
AURORA CO
80011-6703
US

IV. Provider business mailing address

730 POTOMAC ST SUITE #306
AURORA CO
80011-6703
US

V. Phone/Fax

Practice location:
  • Phone: 303-537-0234
  • Fax:
Mailing address:
  • Phone: 303-537-0234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number7970
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: