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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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryDN12915GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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