Harris, John Croom

Harris, John Croom is an sole proprietor health care provider with primary practice located at 4200 Bryant Irvin Rd Ste 107, Benbrook TX 76109-4212. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Harris, John Croom can be contacted via phone (817) 732-4041.

Contact Information

Primary practice address
4200 Bryant Irvin Rd Ste 107 Benbrook TX 76109-4212
Phone: (817) 732-4041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 14190 Texas
Dental Providers / General Practice 1223G0001X AH14190 Texas

Profile Details

NPI number 1245236223
LBN Legal business name Harris, John Croom
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Aug 12th, 2019 - about 7 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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