NPI 1124203286

Brad Jason Harris, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Marietta, GA

Practice location

Address: 55 Whitcher St NE Suite 140, Marietta, GA 30060-1155
Phone: (770) 422-7630
Fax: (770) 422-6017
Mailing address: 345 Parkway 575 Suite 203, Woodstock, GA 30188-3897

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DN12915 (GA)

Other Oral & Maxillofacial Surgery providers in Georgia →

Registry record

NPI: 1124203286
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jan 2008
Record last updated: 8 Jan 2008

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.