Daniel W. Harris, D.D.S, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3928 Issued in NC

Legal business name

DANIEL W. HARRIS, D.D.S, P.A.

Practice address

206 3Rd St
Ayden, NC 28513-2234

Phone

(252) 746-2161

Fax

(252) 746-7412

NPI assigned

Apr 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Wade Harris, D.D.S.NPI 1396813416

Title

Owner Dentist

Phone

(252) 746-2161

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Daniel Wade Harris, D.D.S.

  • General Practice Dentistry
  • Ayden, NC
  • NPI 1396813416
  Authorized official Same address or phone

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659595072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "AYDEN",
            "state": "NC",
            "postal_code": "285130487",
            "telephone_number": "252-746-2161",
            "fax_number": "252-746-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 3RD ST",
            "city": "AYDEN",
            "state": "NC",
            "postal_code": "285132234",
            "telephone_number": "252-746-2161",
            "fax_number": "252-746-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL W. HARRIS, D.D.S, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "252-746-2161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993634",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Linda Susan Creech, OCCUPATIONAL THRAPIS
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• Aniya Deriggs
• Ruth A Dimont
• Ashley Maurice Doe
• Dr. Monica Molini, P.L.L.C. (Ayden Family Dentistry)
• Venita Edoo, FNP-C

• General Practice Dentistry in Ayden, NC
• Providers in Ayden, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.