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

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1356607600

Dr. Kerisa Harriott, DMD is an Orthodontics and Dentofacial Orthopedics Dentistry in Marietta, Georgia. Works from 3 locations. Licensed in Georgia and New York.

Licensed in
GA, NY
In the registry since
2012
Specialties on file
3
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

1111 Johnson Ferry Rd # 10
Marietta, GA 30068-2181
Phone: (718) 764-7479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DN123004 (GA)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 056887 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356607600
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 11, 2012
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023
Mailing address1512 Justine Way Se, Mableton, GA 30126-2839

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