NPI 1013938414

Richard Sterling Harris, DMD

Practitioner Dentist Fond Du Lac, WI

Practice location

Address: 545 E Johnson St, Fond Du Lac, WI 54935-2856
Phone: (920) 924-9090
Fax: (920) 921-0800
Mailing address: 69 Stoney Beach Rd, Oshkosh, WI 54902-7240

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 2446 (WI)

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Registry record

NPI: 1013938414
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.