Provider Demographics
NPI:1356594345
Name:HARRISON, DANIEL ANDREW (RDH)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ANDREW
Last Name:HARRISON
Suffix:
Gender:M
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 SHANNON CIR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3124
Mailing Address - Country:US
Mailing Address - Phone:830-620-9455
Mailing Address - Fax:877-494-7095
Practice Address - Street 1:1309 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3427
Practice Address - Country:US
Practice Address - Phone:830-620-9455
Practice Address - Fax:877-494-7095
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12359124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist