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Contact Information

ROBBIE J HARRIS III
4975 ALBEN BARKLEY DR STE 4
PADUCAH, KY42001-6722
 Phone: 270-408-1960
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for ROBBIE J HARRIS III · (Male)

NPI Number 1558651554
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2011
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 9865
  • TN License # 9855
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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