Mary Theresa Harris, DDS

Dentist · Crystal Lake, IL

Individual Active NPI

NPI number 1417471327

Practice location

1500 Carlemont Dr
Crystal Lake, IL 60014-1833
Phone
(815) 477-2273

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NPI record

NPI
1417471327
Entity type
Individual (Type 1)
Enumeration date
August 1, 2017
Last updated
December 28, 2020
Certified
December 28, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019031314 IL

Mailing address

101 S Hale St
Palatine, IL 60067-6211

About Dr. Harris

Mary Theresa Harris, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1500 Carlemont Dr, Crystal Lake, IL 60014-1833. The NPI number 1417471327 was assigned on August 1, 2017 and the record was last updated on December 28, 2020.

Dr. Harris lists a license in the registry: #019031314 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary Theresa Harris, DDS?

The NPI number is 1417471327.

What is the phone number of Dr. Harris?

The phone number listed for the practice location is (815) 477-2273.

Where is Dr. Harris located?

1500 Carlemont Dr, Crystal Lake, IL 60014-1833.

What is the taxonomy code for Dr. Harris?

The primary taxonomy code is 122300000X – Dentist.

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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