Organization
HARRISON DENTAL GROUP V LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH HARRISON (MANAGER)
(260) 747-4747
Entity
Organization
Contact information
Practice address
1560 SHOOK DR, AUBURN, IN 46706-9595
(260) 747-4747
Mailing address
6412 WINCHESTER RD, FORT WAYNE, IN 46819-1550
(260) 747-4747
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
09/05/2025
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