Provider Demographics
NPI:1467443671
Name:HARRIS, WILLIAM GREEAR (DDS MS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GREEAR
Last Name:HARRIS
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 TULSA RD
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6601
Mailing Address - Country:US
Mailing Address - Phone:865-482-7396
Mailing Address - Fax:865-482-2284
Practice Address - Street 1:108 TULSA RD
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6601
Practice Address - Country:US
Practice Address - Phone:865-482-7396
Practice Address - Fax:865-482-2284
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS002732122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist