Individual
DR. BRADLEY K HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10604 E 96TH ST, FISHERS, IN 46037-9798
(317) 845-8135
(317) 845-8143
Mailing address
10604 E 96TH ST, FISHERS, IN 46037-9798
(317) 845-8135
(317) 845-8143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12010406A
ID
1223G0001X
General Practice Dentistry
Primary
12010406A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200384890A
—
IN
Enumeration date
01/11/2006
Last updated
01/12/2021
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