Provider Demographics
NPI:1275713414
Name:HARRIS, DANA (RDH, BS)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:RDH, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2836 COPPERBUTTE ST
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354-5021
Mailing Address - Country:US
Mailing Address - Phone:509-948-8662
Mailing Address - Fax:
Practice Address - Street 1:7102 W OKANOGAN PL
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-2341
Practice Address - Country:US
Practice Address - Phone:509-460-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH00006889124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist