Individual
DR. C RICHARD HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4824 E TRINDLE RD, MECHANICSBURG, PA 17050-3617
(717) 761-8056
Mailing address
4824 E TRINDLE RD, MECHANICSBURG, PA 17050-3617
(717) 761-8056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS019959L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156338
UNITED CONCORDIA PROVODER
PA
01
—
450208
UNITED CONCORDIA PROVIDER
PW
Enumeration date
10/25/2006
Last updated
07/08/2007
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