| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KEVIN PAUL HARRIS | 1689700031 | 2023-08-13 |
Kevin Paul Harris is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689700031. Registration indicates Kevin Paul Harris is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers) Access to Dental Specialists (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist: Orthodontics and Dentofacial Orthopedics, ) (Dental, ) (Dentist Orthodontics and Dentofacial Orthopedics, Dental Providers) (Dentist, )
| Entity Type | Individual |
| Provider Name | Kevin Paul Harris D.D.S, PC |
| Practice Office Address | 3488 BRENTWOOD DR STE 103 BATON ROUGE, LA US |
| Practice Office Telephone | 2259304785 |
| Practice Office Fax | 2259304785 |
| Mailing Address | 3488 BRENTWOOD DR STE 103 BATON ROUGE, LA 708092015 US |
| Business Telephone | 2259304785 |
| Business Fax | 2259304785 |
| Code | Practice | License No State |
|---|---|---|
| 122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 4833
LA |
| 1223X0400X | Access to Dental Specialists Dental Providers Dentist Dental Providers Dentist Dentist: Orthodontics and Dentofacial Orthopedics Dental Dentist Orthodontics and Dentofacial Orthopedics Dental Providers Dentist | 4833
LA |