DR. JERRY HARRISON, DMD

Dentist - General Practice

Active Individual
NPI: 1295825602

Practice Address

2490 N WATER ST
SUITE 11
Decatur, IL 62526

Phone: (217) 875-1677

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 19A15654 (IL)

Frequently Asked Questions

NPI 1295825602 is the National Provider Identifier for DR. JERRY HARRISON, DMD, a Dentist - General Practice provider located in Decatur, IL. This NPI was enumerated on October 14, 2006.
DR. JERRY HARRISON, DMD practices at 2490 N WATER ST, SUITE 11, Decatur, IL 62526.

Quick Facts

NPI
1295825602
Type
Individual
Enumerated
Oct 14, 2006
Last Updated
Jul 8, 2007

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