Ryan Keith Harris, DMD

General Practice Dentistry · Bolivar, MO

Individual Active NPI

NPI number 1740617992

Practice location

121 N Main Ave
Bolivar, MO 65613-1517
Phone
(417) 422-4540

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NPI record

NPI
1740617992
Entity type
Individual (Type 1)
Enumeration date
October 2, 2013
Last updated
April 21, 2022
Certified
April 21, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2021016226 MO
Dentist 122300000X D-4515 ID

About Dr. Harris

Ryan Keith Harris, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 121 N Main Ave, Bolivar, MO 65613-1517. The NPI number 1740617992 was assigned on October 2, 2013 and the record was last updated on April 21, 2022.

Dr. Harris lists 2 licenses in the registry: #2021016226 (MO) for General Practice Dentistry; #D-4515 (ID) 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 Ryan Keith Harris, DMD?

The NPI number is 1740617992.

What is the phone number of Dr. Harris?

The phone number listed for the practice location is (417) 422-4540.

Where is Dr. Harris located?

121 N Main Ave, Bolivar, MO 65613-1517.

What is the taxonomy code for Dr. Harris?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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