| NPI | 1871631804 |
|---|---|
| Doing Business As | DAYSPRING DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN D HARRIS Credentialing 423-784-8492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: KY 181827) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2021-12-17 |