Provider Demographics
NPI:1982119475
Name:C. M. GARRISON, DDS, PC
Entity Type:Organization
Organization Name:C. M. GARRISON, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLYDE
Authorized Official - Middle Name:MCALLISTER
Authorized Official - Last Name:GARRISON
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-434-5702
Mailing Address - Street 1:129 UNIVERSITY BLVD.
Mailing Address - Street 2:SUITE D
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801
Mailing Address - Country:US
Mailing Address - Phone:540-434-5702
Mailing Address - Fax:
Practice Address - Street 1:129 UNIVERSITY BLVD.
Practice Address - Street 2:SUITE D
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801
Practice Address - Country:US
Practice Address - Phone:540-434-5702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-06
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty