# HARRISON DENTAL GROUP II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harrison Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689140949
- **Authorized official:** KEITH HARRISON DDS (OWNER)
- **Authorized official phone:** (260) 747-4747

## Contact information

- **Practice address:** 1333 GETZ RD, FORT WAYNE, IN 46804
- **Practice address phone:** (260) 747-4747
- **Mailing address:** 7918 INVERNESS LAKES TRL, FORT WAYNE, IN 46804-3842
- **Mailing address phone:** (260) 450-7336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2018
- **Last updated:** 10/15/2018