Provider Demographics
NPI:1730291824
Name:HARRISON, JANA LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:JANA
Middle Name:LEE
Last Name:HARRISON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6940 COIT RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-1004
Mailing Address - Country:US
Mailing Address - Phone:972-491-2677
Mailing Address - Fax:972-491-3121
Practice Address - Street 1:6940 COIT RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-1004
Practice Address - Country:US
Practice Address - Phone:972-491-2677
Practice Address - Fax:972-491-3121
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX178491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice