Provider Demographics
NPI:1760088983
Name:CLAIR HARRIS, BARBARA ANN (RDH)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:CLAIR HARRIS
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6880 S SORRELL AVE
Mailing Address - Street 2:
Mailing Address - City:HOMOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:34446-3463
Mailing Address - Country:US
Mailing Address - Phone:352-422-7992
Mailing Address - Fax:
Practice Address - Street 1:13146 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-4858
Practice Address - Country:US
Practice Address - Phone:352-596-8199
Practice Address - Fax:352-596-7898
Is Sole Proprietor?:No
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH12487124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist