Provider Demographics
NPI:1194210153
Name:HARRIS, BRITTANIE JA'NELL (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRITTANIE
Middle Name:JA'NELL
Last Name:HARRIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 FALLS VALLEY DR STE 107
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-2496
Mailing Address - Country:US
Mailing Address - Phone:919-327-1770
Mailing Address - Fax:919-249-2145
Practice Address - Street 1:1911 FALLS VALLEY DR STE 107
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615
Practice Address - Country:US
Practice Address - Phone:919-327-1770
Practice Address - Fax:919-249-2145
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC111001223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice