Harris, Bradley K

Harris, Bradley K is an individual health care provider with primary practice located at 10604 E 96Th St , Fishers IN 46037-9798. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Harris, Bradley K can be contacted via phone (317) 845-8135.

Contact Information

Primary practice address
10604 E 96Th St Fishers IN 46037-9798
Phone: (317) 845-8135
Fax: (317) 845-8143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12010406A Idaho
Dental Providers / General Practice 1223G0001X 12010406A Indiana

Profile Details

NPI number 1134108970
LBN Legal business name Harris, Bradley K
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jan 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134108970 NPPES
Indiana MEDICAID 200384890A

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