Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY R HARRISON, DMD
Active Sole ProprietorDR. JERRY R HARRISON, DMD is a General Dentistry healthcare provider located in DECATUR, Illinois. NPI 1295825602 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · DECATUR, IL
Registration Details
- NPI Number
- 1295825602
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2006 (19.847545501061 yrs)
- Last Updated
- Jul 8, 2007
- License
-
19A15654 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2490 N WATER STSUITE 11DECATUR, IL, 625264251Browse IL providers · Browse ZIP 62526
- Phone
- 2178751677
- Fax
- 2178751834
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| ALAN COLBY | DDS | 1578532099 |
| DR. RICKY DEAN SIMMS | DMD | 1013931161 |
| KELLY CLARK | — | 1942379458 |
| DR. KEVIN MARCELLINO ARTIME | KEVIN ARTIME DMD | 1770655540 |
| SCOTT T GAITROS | DMD | 1376609354 |
| DR. RONALD N. COLE | DMD | 1942354592 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.