Individual
JOHN MARK HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1916 HAYES ST, NASHVILLE, TN 37203-2317
(615) 329-1854
Mailing address
3313 BROME LN, NASHVILLE, TN 37218-1038
(615) 838-1112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10562
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10562
TENNESSEE DENTAL LICENSE NUMBER
TN
Enumeration date
07/19/2017
Last updated
07/19/2017
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