National Provider Identifier
Brendon Luther Harrison, D.D.S.
Brendon Luther Harrison, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Palmyra, NY and a listed phone number of (315) 597-5511.
Profile Overview
- NPI
- 1841551223
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- June 02, 2012
- Last Updated
- October 30, 2017
Practice Location
- 102 Hyde Pkwy
- Palmyra, NY 14522-1210
Phone: (315) 597-5511
Specialties
- General Practice Dentistry (1223G0001X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1841551223
- Entity Type
- Individual
- Last Name
- Harrison
- First Name
- Brendon
- Middle Name
- Luther
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 102 Hyde Pkwy
- Mailing City
- Palmyra
- Mailing State
- NY
- Mailing ZIP Code
- 14522-1210
- Mailing Country
- US
- Mailing Phone
- (315) 597-5511
- Practice Street Address
- 102 Hyde Pkwy
- Practice City
- Palmyra
- Practice State
- NY
- Practice ZIP Code
- 14522-1210
- Practice Country
- US
- Practice Phone
- (315) 597-5511
- Enumeration Date
- June 02, 2012
- Last Updated
- October 30, 2017
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X), Student in an Organized Health Care Education/Training Program (390200000X)