Dr. Brad Jason Harris
Oral & Maxillofacial Surgeon
55 Whitcher St Ne Suite 140
Marietta
, Georgia 30060-1155
Dr. Brad Jason Harris
Oral & Maxillofacial Surgeon
55 Whitcher St Ne Suite 140
Marietta
, Georgia 30060-1155
(770) 924-4096
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Brad Jason Harris
- 345 Parkway 575 Suite 203
- Woodstock, GA
- Zip : 30188-3897
- Fax : (770) 924-4096
- Phone : (770) 924-4095
Second Address
- Dr. Brad Jason Harris
- 55 Whitcher St Ne Suite 140
- Marietta, GA
- Zip : 30060-1155
- Fax : (770) 422-6017
- Phone : (770) 422-7630
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | DN12915 | GA |
National Provider Identifier
| NPI | 1124203286 |
|---|---|
| Provider Name | Dr. Brad Jason Harris |
| First Address | Woodstock, GA 30188-3897 |
| Second Address | Marietta, GA 30060-1155 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2008 |
| Last Update Date | 08/01/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.