Jerry R. Harrison, DMD

General Practice Dentistry · Decatur, IL

Individual Active NPI

NPI number 1295825602

Practice location

2490 N Water St
Suite 11
Decatur, IL 62526-4251
Phone
(217) 875-1677
Fax
(217) 875-1834

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NPI record

NPI
1295825602
Entity type
Individual (Type 1)
Enumeration date
October 14, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 19A15654 IL

About Dr. Harrison

Jerry R. Harrison, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2490 N Water St, Suite 11, Decatur, IL 62526-4251. The NPI number 1295825602 was assigned on October 14, 2006 and the record was last updated on July 8, 2007.

Dr. Harrison lists a license in the registry: #19A15654 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry R. Harrison, DMD?

The NPI number is 1295825602.

What is the phone number of Dr. Harrison?

The phone number listed for the practice location is (217) 875-1677.

Where is Dr. Harrison located?

2490 N Water St, Suite 11, Decatur, IL 62526-4251.

What is the taxonomy code for Dr. Harrison?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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