Individual
MR. BRIAN TIMOTHY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2921 N. HERITAGE PKWY, SUITE 100, SHERMAN, TX 75092
(903) 892-1200
(903) 813-1581
Mailing address
2921 N. HERITAGE PKWY, SUITE 100, SHERMAN, TX 75092
(903) 892-1200
(903) 813-1581
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093916-01
—
TX
01
—
750920
UNITED CONCORDIA
TX
01
—
85D916
BLUECROSS/BLUESHIELD
TX
Enumeration date
06/21/2005
Last updated
02/09/2012
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