# HARRIS FAMILY DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386193704
- **Authorized official:** DR. BRADLEY HARRIS D.D.S. (DENTIST)
- **Authorized official phone:** (765) 717-1233

## Contact information

- **Practice address:** 714 WALNUT ST, ANDERSON, IN 46012-3450
- **Practice address phone:** (765) 649-0611
- **Mailing address:** 714 WALNUT ST, ANDERSON, IN 46012-3450
- **Mailing address phone:** (765) 649-0611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12011711A | IN | Yes |

## Other

- **Enumeration date:** 09/27/2016
- **Last updated:** 09/27/2016