Individual provider · Type 1 NPI

Kerisa Harriott, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Marietta, GA

NPI number 1356607600 Active

Practice location

1111 Johnson Ferry Rd # 10
Marietta, GA 30068-2181

Call (718) 764-7479 Map

Mailing address

1512 Justine Way SE
Mableton, GA 30126-2839

Other practice locations

27005 76th Ave, New Hyde Park, NY 11040-1402 · (718) 764-7479
1815 Francis Lewis Blvd, Whitestone, NY 11357-3836 · (718) 746-8900

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	056887 (NY)
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	DN123004 (GA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1356607600

Kerisa Harriott, DMD's National Provider Identifier is 1356607600, issued on Apr 11, 2012. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Marietta, GA. The record was last updated on Jul 21, 2023.