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BRETT HARRIS DMD DA PLLC NPI 1821669490


NPI Information

NPI: 1821669490
Provider Name: BRETT HARRIS DMD DA PLLC
Classification: Dentist - 1223D0004X
Entity Type: Organization

Specialization: Dentist Anesthesiologist

Address:
226 NEWELL AVE APT 105
SAN ANTONIO, TX
ZIP 78215
Phone: (970) 390-4124
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BRETT HARRIS DMD DA PLLC is a dentist anesthesiologist dentist in San Antonio, TX. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. BRETT HARRIS DMD DA PLLC NPI is 1821669490. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

226 NEWELL AVE APT 105
SAN ANTONIO, TX
ZIP 78215-611
Phone: (970) 390-4124

The provider's authorized official is Brett Harris .
The authorized official title is Owner and has the following contact phone number (970) 390-4124.

The enumeration date for this NPI number is 7/6/2021 and was last updated on 7/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223D0004XDentistDentist AnesthesiologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13640781MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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