Provider Demographics
NPI:1467472233
Name:W.R. HARRISON, D.D.S., P.C.
Entity Type:Organization
Organization Name:W.R. HARRISON, D.D.S., P.C.
Other - Org Name:ALL SMILES FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WAUN
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-264-2466
Mailing Address - Street 1:2126 VIRGINIA ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-3764
Mailing Address - Country:US
Mailing Address - Phone:972-264-2466
Mailing Address - Fax:
Practice Address - Street 1:2126 VIRGINIA ST
Practice Address - Street 2:SUITE 1
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-3764
Practice Address - Country:US
Practice Address - Phone:972-264-2466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty