PHILLIP AUSTIN HARRISON (NPI# 1396155875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396155875 |
| Entity Type | Individual |
| Full Name | PHILLIP AUSTIN HARRISON |
| Credential | D.D.S. |
| Practice Address |
1195 W San Ramon Ave Fresno CA 93711-3152 |
| Practice Telephone | 5592842304 |
| Mailing Telephone | 5592842304 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
62411 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598259525 | Phillip Harrison | Physician Assistant | Mendoza Clinic, 11335 Ssg Sims, Fort Bliss, TX 79906 | 2018-06-22 |
| 1811255714 | Phillip Harrison | Prosthetist | 1901 Babcock Rd, San Antonio, TX 78229-4554 | 2012-04-27 |
| 1124121389 | Phillip Edward Harrison | Dentist | 214 2nd St, Wenatchee, WA 98801 | 2006-09-06 |
| Street Address |
1195 W SAN RAMON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-3152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
| 1306212428 | Robin Lynn Reisz | Dentist | 1105 E Spruce Ave Ste 204, Fresno, CA 93720-3313 | 2015-08-12 |
| 1417390253 | Brian K Huh | Dentist | 1903 E Fir Ave Ste 101, Fresno, CA 93720-3862 | 2013-04-11 |
| 1164688396 | Shabaz Sandhu | Dentist | 498 W Bluff Ave, Fresno, CA 93711-6928 | 2008-08-07 |
| 1962699777 | Scott J. Fimbres, D.d.s., Inc. | Dentist | 7585 N Colonial Ave Ste 105, Fresno, CA 93711 | 2007-09-26 |
| 1952528671 | Jason Sorensen D.d.s. A Professional Corporation | Dentist | 1480 W Herndon Ave, Fresno, CA 93711-0552 | 2007-04-20 |
| 1508938523 | Center for Corrective Jaw & Facial Surgery .... | Dentist | 7055 N Fresno St #202, Fresno, CA 93720 | 2006-11-14 |
| 1831282755 | David Russell Adams | Dentist | 1111 E Herndon Ave Ste 119, Fresno, CA 93720-3100 | 2006-10-02 |
| 1144257619 | Gerald Wayne Alexander | Dentist | 7585 N Colonial Ave, Ste 105, Fresno, CA 93711-5889 | 2006-06-28 |
| 1023505237 | Andrew R. Rahn, Dds, PC | Dentist | 1313 E Herndon Ave Ste 104, Fresno, CA 93720 | 2018-04-13 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.