Harrison Dental Associates

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HARRISON DENTAL ASSOCIATES

Practice address

1012 W 11TH St
Panama City, FL 32401-2042

Phone

(850) 763-6782

Fax

(850) 763-1401

NPI assigned

Jul 22, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Benjamin Rex Harrison, DMDNPI 1003449224

Title

President

Phone

(850) 763-6782

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Rex Harrison, DMD

  • Dentist
  • Panama City, FL
  • NPI 1003449224
  NPD Authorized official
• Jacob Edward Harrison, DMD

  • General Practice Dentistry
  • Panama City, FL
  • NPI 1386213486
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1164095675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 W 11TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012042",
            "telephone_number": "850-763-6782",
            "fax_number": "850-763-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 W 11TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012042",
            "telephone_number": "850-763-6782",
            "fax_number": "850-763-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "REX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-763-6782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Harris, PMHNP
• Ryan Harris
• Shawn Harris, MT
• Tiffany Fontaine Harris, M.D.
• Wayne Harris
• Benjamin Rex Harrison, DMD
• Jacob Edward Harrison, DMD
• Linda Buchanan Harrison
• Rex Edward Harrison, DMD
• Debra Ann Hartley, LMHC

• Dental Clinic/Center in Panama City, FL
• Providers in Panama City, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.