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Dr. Jerry R Harrison, DMD
General Practice Dentistry in Decatur, Illinois
NPI 1295825602

Jerry R Harrison is a General Practice Dentistry based in Decatur, IL and is specialized in General Practice. Jerry R Harrison practices in Decatur, IL and has the professional credentials of DMD. The NPI Number for Jerry R Harrison is 1295825602 and holds a License No. 19A15654 (Illinois).

The current practice location address for Jerry R Harrison is 2490 N Water St, Decatur, IL and can be reached out via phone at 217-875-1677 and via fax at 217-875-1834.

Location: 2490 N Water St, Decatur, IL, 62526-4251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295825602
Provider Name
Jerry R Harrison
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2490 N Water St, Decatur, IL, 62526-4251
Phone Number
217-875-1677
Fax Number
217-875-1834
Provider Enumeration Date
10/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2490 N Water St
City
Decatur
State
Illinois
Zip
62526-4251
Phone Number
217-875-1677
Fax Number
217-875-1834
person
Provider Business Mailing Address Details
Address
2490 N Water St
City
Decatur
State
Illinois
Zip
62526-4251
Phone Number
217-875-1677
Fax Number
217-875-1834
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
19A15654 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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