Organization
HARRIS ORTHODONTICS, LLC
Active
Organization
HARRIS ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEYTON HARRIS DDS (OWNER/ORTHODONTIST)
(404) 902-6912
Entity
Organization
Contact information
Practice address
800 MARIETTA ST NW, SUITE C, ATLANTA, GA 30318
(404) 902-6912
Mailing address
844 WINSLOW WAY NW, ATLANTA, GA 30318-3326
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487145272
NPI TYPE 1
—
Enumeration date
12/29/2021
Last updated
12/29/2021
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