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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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