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Individual

DR. ROBBIE JAMES HARRIS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4975 ALBEN BARKLEY DR STE 4, PADUCAH, KY 42001-6722
(270) 408-1960
Mailing address
4975 ALBEN BARKLEY DR STE 4, PADUCAH, KY 42001-6722

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9865
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
9855
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
9865
KY

Other

Enumeration date
04/11/2011
Last updated
03/17/2018
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