Individual
DR. JOHN THOMAS HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7650 W VIRGINIA AVE UNIT A, LAKEWOOD, CO 80226-3131
(303) 222-0296
Mailing address
2120 BLAKE ST, DENVER, CO 80205-2038
(865) 386-5909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00203248
CO
122300000X
Dentist
Primary
10899
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063934693
STATE OF COLORADO
CO
Enumeration date
07/14/2017
Last updated
07/21/2022
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