Provider Demographics
NPI:1043338023
Name:HARRIS, JOE KNOX JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:KNOX
Last Name:HARRIS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 VAUGHN RD
Mailing Address - Street 2:SUITE
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217
Mailing Address - Country:US
Mailing Address - Phone:336-226-6812
Mailing Address - Fax:336-226-0750
Practice Address - Street 1:1610 VAUGHN RD
Practice Address - Street 2:SUITE
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217
Practice Address - Country:US
Practice Address - Phone:336-226-6812
Practice Address - Fax:336-226-0750
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4353122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist