Provider Demographics
NPI:1922520477
Name:HARRIS, DANIELLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
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 1:1352 OAK ST
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-4213
Mailing Address - Country:US
Mailing Address - Phone:253-508-7447
Mailing Address - Fax:
Practice Address - Street 1:222 N MISSION ST STE D
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-6643
Practice Address - Country:US
Practice Address - Phone:509-761-6181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-15
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA607717941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice