Harriott, Kerisa

Harriott, Kerisa is an individual health care provider with primary practice located at 1111 Johnson Ferry Rd # 10 , Marietta GA 30068-2181. She recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Harriott, Kerisa can be contacted via phone (718) 764-7479.

Contact Information

Primary practice address
1111 Johnson Ferry Rd # 10 Marietta GA 30068-2181
Phone: (718) 764-7479
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 056887 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN123004 Georgia

Profile Details

NPI number 1356607600
LBN Legal business name Harriott, Kerisa
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2012
Last updated Jul 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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