Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jerry R Harrison, DMD

Individual provider General Practice Dentistry · NPI 1295825602

Dr. Jerry R Harrison, DMD is a General Practice Dentistry in Decatur, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2490 N Water St Ste 11
Decatur, IL 62526-4251
Phone: (217) 875-1677
Fax: (217) 875-1834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 19A15654 (IL)

Record details

NPI number1295825602
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 14, 2006
Last updated in NPPESJuly 8, 2007

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