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NPI Code Detail

MEDICARE: DAVID K. HARRISON DDS PC

MEDICARE: DAVID K. HARRISON DDS PC
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
11223G0001XGeneral Practice Dentistry12008577IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831279447
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID K. HARRISON DDS PC
Provider Business Mailing Address
First Line : 6412 WINCHESTER RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46819-1550
Country : US
Telephone Number : 260-747-4747
Fax Number : 260-747-4749
Provider Business Practice Location Address
First Line : 6412 WINCHESTER RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46819-1550
Country : US
Telephone Number : 260-747-4747
Fax Number : 260-747-4749
Authorized Official
Title or Position : OWNER
Name : DAVID K HARRISON
Credential :
Telephone Number : 260-747-4747
Provider Enumeration Date : 10/17/2006
Last Update Date : 02/27/2013

Similar Medicare Providers

1720209000 — DR. DAVID K HARRISON D.D.S.
Practice Location Address:
6412 WINCHESTER RD
FORT WAYNE, IN
46819-1550
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Practice Fax: 260-747-4749
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Practice Location Address:
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FORT WAYNE, IN
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Practice Location Address:
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Directions to “DAVID K. HARRISON DDS PC ” Practice Location

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