DR. BRENDON LUTHER HARRISON (NPI# 1841551223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841551223 |
| Entity Type | Individual |
| Full Name | DR. BRENDON LUTHER HARRISON |
| Credential | D.D.S. |
| Practice Address |
102 Hyde Pkwy Palmyra NY 14522-1210 |
| Practice Telephone | 3155975511 |
| Mailing Telephone | 3155975511 |
| Enumeration Date | 2012-06-02 |
| Last Update Date | 2017-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
056800 | NY | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
102 HYDE PKWY |
| City | PALMYRA |
| State | NY |
| Zip Code | 14522-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265448138 | Carl David Levy | Dentist | 102 Hyde Pkwy, Palmyra, NY 14522-1210 | 2006-07-31 |
| 1144595869 | Jonathan James Adler | Dentist | 102 Hyde Pkwy, Palmyra, NY 14522-1210 | 2012-03-13 |
| 1467632828 | Palmyra Family & Cosmetic Dentistry, Pllc | Dentist | 102 Hyde Pkwy, Palmyra, NY 14522-1210 | 2007-11-13 |
| 1184779746 | Joshua Michael Haremza | Dentist | 102 Hyde Pkwy, Palmyra, NY 14522-1210 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689909863 | Betsy Wray Hernandez | Registered Nurse | 3046 Sherwood Rd., Palmyra, NY 14522 | 2009-10-06 |
| 1639202815 | Stacey Tinker Welch | Social Worker | 200 Church St, Suite 110, Palmyra, NY 14522 | 2007-03-14 |
| 1184767873 | John Michael Masterson Jr. | Dentist | 402 W Main St, Palmyra, NY 14522-1004 | 2007-02-14 |
| 1619220662 | Jessica Dekdebrun | Licensed Practical Nurse | 201 Park Dr, Palmyra, NY 14522-1113 | 2012-10-16 |
| 1538318050 | Newport Medical, Pllc | Clinic/Center | 221 E Main St, Palmyra, NY 14522-1127 | 2008-09-09 |
| 1265446520 | Malcolm M Riggs | General Practice | 201 E Main St, Palmyra, NY 14522-1127 | 2006-07-29 |
| 1396704060 | Karen May Nickell | Family Medicine | 221 E Main St, Palmyra, NY 14522-1127 | 2006-03-21 |
| 1750820114 | Amanda Wendt | Pharmacist | 214 E Main St, Palmyra, NY 14522-1128 | 2017-02-18 |
| 1144668559 | Palmyra Pharmacy LLC | Pharmacy | 214 E Main St, Palmyra, NY 14522-1128 | 2013-06-07 |
| 1124263710 | Denise Ann Jackson | Specialist | 204 E Main St, Palmyra, NY 14522-1128 | 2008-12-10 |
| Find all providers in zip 14522 | ||||
| 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 |
|---|---|---|---|---|
| 1427212042 | Frank Calvin Grenoble Jr. | Dentist | 200 E Fir St, Palmyra, PA 17078-2420 | 2008-07-13 |
| 1518032903 | Jeffrey Alan Spence | Dentist | 40 Joshua Ln, Palmyra, VA 22963-6208 | 2006-11-21 |
| 1154419927 | Antoinette Jean Sartini | Dentist | 845 Main Street Ne, Palmyra, IN 47164 | 2006-10-10 |
| 1780770123 | Kyle Anne Mattmuller | Dentist | 15 W Broad St, Palmyra, NJ 08065-1640 | 2006-10-05 |
| 1306946488 | Raymond T Sweeney | Dentist | 101 Hyde Pkwy, Palmyra, NY 14522-1209 | 2006-09-25 |
| 1356300636 | Toan Nguyen Bui | Dentist | 117 W Cherry St, Palmyra, PA 17078-2303 | 2006-03-23 |
| 1104821750 | William Thomas Lemons | Dentist | 522 S Dickerson St, Palmyra, MO 63461-1536 | 2005-06-19 |
| 1073043758 | Crosstown Dental Group | Dentist | 1230 E Main St, Palmyra, PA 17078-9505 | 2017-06-15 |
| 1467632828 | Palmyra Family & Cosmetic Dentistry, Pllc | Dentist | 102 Hyde Pkwy, Palmyra, NY 14522-1210 | 2007-11-13 |
| 1184767873 | John Michael Masterson Jr. | Dentist | 402 W Main St, Palmyra, NY 14522-1004 | 2007-02-14 |
| Find all providers in PALMYRA | ||||
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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.