Provider Demographics
NPI:1225126287
Name:HARRIS, GARY ZANE (DDS)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:ZANE
Last Name:HARRIS
Suffix:
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 1:1117 GALLAGHER DR
Mailing Address - Street 2:SUITE 430
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-1797
Mailing Address - Country:US
Mailing Address - Phone:903-868-0200
Mailing Address - Fax:903-868-1317
Practice Address - Street 1:1117 GALLAGHER DR
Practice Address - Street 2:SUITE 430
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-1797
Practice Address - Country:US
Practice Address - Phone:903-868-0200
Practice Address - Fax:903-868-1317
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121961223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics