DR. BRYAN T. HARRIS (NPI# 1821288853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821288853 |
| Entity Type | Individual |
| Full Name | DR. BRYAN T. HARRIS |
| Credential | DMD |
| Practice Address |
12010 Shelbyville Rd Ste 100 Louisville KY 40243 |
| Mailing Address |
501 S Preston St Louisville KY 40292-0001 |
| Practice Telephone | 5025894671 |
| Practice Fax Number | 5025896584 |
| Mailing Telephone | 5028525128 |
| Mailing Fax Number | 5028527163 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2018-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8526 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588789051 | Bryan R Harris | Specialist | 150 Siebenmorgan Rd, Conway, AR 72032-4000 | 2007-03-20 |
| 1710049580 | Bryan D Harris | Dentist | 316 Ne Cedar, Camas, WA 98607-2141 | 2006-12-15 |
| 1306459490 | Bryan David Harris | Pharmacist | 310 W Main St, Malden, MO 63863-2116 | 2020-08-28 |
| 1396357224 | Bryan Harris | Physical Therapist | 2535 Ira E Woods Ave, Grapevine, TX 76051-3930 | 2020-08-21 |
| 1255995023 | Bryan Harris | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2019-04-27 |
| 1568931921 | Bryan Francis Harris | Nurse Practitioner | 580 W College Ave, Marquette, MI 49855-2736 | 2018-11-15 |
| 1053837542 | Bryan R Harris | Physician Assistant | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2017-08-17 |
| 1659514354 | Bryan D Harris | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2009-04-09 |
| 1972709095 | Bryan M Harris | Anesthesiology | 801 7th Ave, Fort Worth, TX 76104-2733 | 2007-06-25 |
| 1356544639 | Bryan Edward Harris | Counselor | 228 Broadway St, Vallejo, CA 94590-4519 | 2007-06-06 |
| Street Address |
12010 SHELBYVILLE RD STE 100 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447733753 | The Center for Aesthetic & Implant Dentistry | Clinic/Center | 12010 Shelbyville Rd Ste 100, Louisville, KY 40243-1095 | 2018-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
| 1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1417501974 | Joshua Bynum | Physical Therapist | 12935 Shelbyville Road Ste 106, Louisville, KY 40243 | 2019-08-01 |
| 1376013342 | Carmen Sue Frederick | Psychologist | 731 Speckman Road, Louisville, KY 40243 | 2018-12-03 |
| 1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
| 1659811636 | Jean Steltenpohl | Dietitian, Registered | 518 Cheskirk Pl, Louisville, KY 40243 | 2017-02-24 |
| 1548555287 | Jonathan D Senters | Pharmacist | 12975 Shelbyville Road, T-2728, Middletown, KY 40243 | 2011-06-10 |
| 1023339835 | Ashley Rose Havens | Speech-Language Pathologist | 11510 Main Street, Louisville, KY 40243 | 2010-06-15 |
| 1801110424 | Shawna L. Kauffman | Family Medicine | 12955 Shelbyville Rd Ste 2, Louisville, KY 40243 | 2010-03-25 |
| Find all providers in zip 40243 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235781485 | Rylie Mike-mayer | Dentist | 302 Axis Dr Apt 401, Louisville, KY 40206-0139 | 2019-07-09 |
| 1922580653 | Advanced Dental Center, Inc. | Dentist | 1901 Rudy Ln Ste 4, Louisville, KY 40207-1384 | 2018-08-29 |
| 1043701451 | Diana H Tran | Dentist | 501 S Preston St Rm 148, Louisville, KY 40202-1701 | 2018-05-21 |
| 1992295653 | Tyler Benton Blount | Dentist | 8013 New La Grange Rd Ste 6, Louisville, KY 40222-4700 | 2018-05-17 |
| 1407346901 | Louisville Dental Associates LLC | Dentist | 16701 E Main St, Louisville, MS 39339-2751 | 2018-05-10 |
| 1194238816 | Dental Services of Kentucky, Psc | Dentist | 2011 Grinstead Dr Unit 102, Louisville, KY 40204-1296 | 2017-11-16 |
| 1366963373 | Caleb William Reece | Dentist | 2201 Biljana Dr Apt 1, Louisville, KY 40206-2175 | 2017-06-29 |
| 1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
| 1740733559 | Jonathan Mitchell, Dmd, Psc | Dentist | 1716 Gardiner Ln, Louisville, KY 40205-2738 | 2016-07-27 |
| 1215389168 | Charles Kendrick Bunch | Dentist | 1030 Mulberry St, Louisville, KY 40217-1253 | 2016-07-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40243 |
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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.