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NPI Code Detail

MEDICARE: DR. RICHARD STERLING HARRIS DMD

MEDICARE: DR. RICHARD STERLING HARRIS DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist2446WI

General Provider Information

NPI Number : 1013938414
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD STERLING HARRIS DMD
Provider Business Mailing Address
First Line : 69 STONEY BEACH RD
Second Line :
City : OSHKOSH
State : WI
Zip : 54902-7240
Country : US
Telephone Number : 920-426-5845
Fax Number :
Provider Business Practice Location Address
First Line : 545 E JOHNSON ST
Second Line :
City : FOND DU LAC
State : WI
Zip : 54935-2856
Country : US
Telephone Number : 920-924-9090
Fax Number : 920-921-0800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/08/2007

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