| Doctor Name: | JOHN HARRISON |
| NPI Number: | 1073953840 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.M.D. |
| License Number: | 10058 |
| Business Practice Address: | 134 Us-70 Dickson Pediatric Dentistry Dickson, TN - 37055 |
| Business Phone Number: | 6157408812 |
| Business Fax Number: | 8042851292 |
| Mailing Address: | 2004a White Ave, NASHVILLE |
| State: | TN |
| Postal Code: | 372042242 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/26/2013 |
| NPI Last Update Date: | 07/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | 10058 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |