John Andrew Harris, DMD
Individual provider Active NPI General Practice Dentistry · Montgomery, AL
NPI 1740397553 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740397553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2759 (AL)
- Practice address
- Cavhcs 215 Perry Hill Road
Montgomery, AL 26109 - Phone
- (334) 272-4670
- Fax
- (334) 260-4191
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2759 | AL | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2759 | AL | Yes |
Addresses
Primary practice location
Cavhcs 215 Perry Hill Road
Montgomery, AL 26109
Mailing address
530 Farmington Rd
Montgomery, AL 36109-4610
Other providers in Montgomery, AL
- Dakota Kanae Tahisa Harris
- Forrest Hunter Harris
- Forrest Scott Harris
- Frank M Harris
- Jason Harris
- Leslie Harris Jr.
- Lynn Harris
- Memendra Page Harris
- Olivia Harris
- Paige C Harris
All providers in Montgomery, AL · General Practice Dentistry in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.