Organization
JANET HOGAN HARRISON DDS. P.C.
Active
Parent organization
JANET HOGAN HARRISON DDS. P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
JANET HOGAN HARRISON DDS. P.C.
Authorized official
JANET H HARRISON (PRESIDENT)
(478) 453-7535
Entity
Organization
Contact information
Practice address
108 FIELDSTONE DR, MILLEDGEVILLE, GA 31061-7110
(478) 453-7535
(478) 453-7536
Mailing address
108 FIELDSTONE DR, MILLEDGEVILLE, GA 31061-7110
(478) 453-7535
(478) 453-7536
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
581385985
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000151126A
—
GA
01
—
792229
UNITED CONCORDIA IDENTIFIER #
—
01
—
9180326
DENTAQUEST ( WELLCARE THIRD PARTY PAYER FOR MEDICAID GEORGIA)
GA
Enumeration date
10/28/2011
Last updated
10/28/2011
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