DR. Jerry R Harrison, DMD

NPI #1295825602 in Decatur, Illinois

Provider Information

NPI Number: 1295825602
Entity Type: Individual
Name: DR. Jerry R Harrison, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Oct 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2490 N WATER ST
Address 2: SUITE 11
City: Decatur
State: Illinois
ZIP Code: 62526-4251
Phone: (217) 875-1677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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