Individual
DR. GARY WAYNE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
307 S BROADWAY, SALISBURY, MO 65281-1037
(844) 853-8937
(660) 388-6870
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014164
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404040602
—
MO
Enumeration date
03/19/2007
Last updated
09/20/2022
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