NPIMap

Organization Active NPI

Harris Family Dentistry

  • Dentist
  • Dawsonville, GA
National Provider Identifier
1356595748
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
011586 Issued in GA
Legal business name
HARRIS FAMILY DENTISTRY
Practice address
212 Prominence CT
Dawsonville, GA 30534-6276
Phone
(706) 216-7777
NPI assigned
Nov 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Dr. Winifred Jones Harris, DMDNPI 1003097478
Title
Dentist/Owner
Phone
(706) 216-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 011586 GA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 011811 GA

Addresses

Primary practice location

212 Prominence CT
Dawsonville, GA 30534-6276

Mailing address

212 Prominence CT
Dawsonville, GA 30534-6276
Phone (706) 216-7777

National Provider Directory

National Provider Directory

Locations

212 Prominence Ct
Dawsonville, GA 30534
Phone (706) 216-7777

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1356595748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 PROMINENCE CT",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346276",
            "telephone_number": "706-216-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 PROMINENCE CT",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346276",
            "telephone_number": "706-216-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "706-216-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "011586",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "011811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.