Healthcare Provider Details

I. General information

NPI: 1043062185
Provider Name (Legal Business Name): SAVANNA HARRISON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MCDOWELL ST STE 200
ASHEVILLE NC
28801-4136
US

IV. Provider business mailing address

2916 AYLESBURY DR
AUGUSTA GA
30909-0628
US

V. Phone/Fax

Practice location:
  • Phone: 828-676-3618
  • Fax:
Mailing address:
  • Phone: 706-550-3586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number14134
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: