Glenn a. Harrison, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6836 Issued in VA

Legal business name

GLENN A. HARRISON, P.C.

Practice address

2951 West Front Street
Suite 3800
Richlands, VA 24641

Phone

(276) 964-9109

Fax

(276) 963-7205

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Glenn A. Harrison, D.D.S.

Title

President

Phone

(276) 964-9109

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1275865834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 WEST FRONT STREET",
            "address_2": "SUITE 3800",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "24641",
            "telephone_number": "276-964-9109",
            "fax_number": "276-963-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 WEST FRONT STREET",
            "address_2": "SUITE 3800",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "24641",
            "telephone_number": "276-964-9109",
            "fax_number": "276-963-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN A. HARRISON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-964-9109",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "6836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008000026",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tauna Gulley, PHD, FNP, MSN
• Marvin Darrell Harman, DDS
• Angela Hendricks Harrison, CFNP

• Oral and Maxillofacial Surgery (Dentist) in Richlands, VA
• Providers in Richlands, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.