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DR. BRAD JASON HARRIS D.M.D NPI 1124203286


NPI Information

NPI: 1124203286
Provider Name: DR. BRAD JASON HARRIS, D.M.D
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Address:
55 WHITCHER ST NE
SUITE 140
MARIETTA, GA
ZIP 30060
Phone: (770) 422-7630
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DR. Brad Jason Harris, D.M.D is an oral maxillofacial surgery in Marietta, GA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Brad Jason Harris, D.M.D NPI is 1124203286. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 WHITCHER ST NE
SUITE 140
MARIETTA, GA
ZIP 30060-155
Phone: (770) 422-7630
Fax: (770) 422-6017

The enumeration date for this NPI number is 1/8/2008 and was last updated on 1/8/2008.


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
1204E00000XOral & Maxillofacial SurgeryDN12915GEORGIAYes

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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