Organization
DAVID K. HARRISON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID K HARRISON (OWNER)
(260) 747-4747
Entity
Organization
Contact information
Practice address
6412 WINCHESTER RD, FORT WAYNE, IN 46819-1550
(260) 747-4747
(260) 747-4749
Mailing address
6412 WINCHESTER RD, FORT WAYNE, IN 46819-1550
(260) 747-4747
(260) 747-4749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008577
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079930
—
IN
Enumeration date
10/17/2006
Last updated
02/27/2013
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