Dr. Wayne R. Harrison , DDS
Dentist - General Practice • Faribault, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wayne Harrison has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Wayne Harrison, DDS was a registered Dentist - General Practice practicing in Faribault, MN. Throughout an active medical career spanning 6 years, Dr. Harrison provided care at the practice location at 1821 LEGACY DR until profile deactivation on 2023-08-23.
Practice Location & Contact Primary Location
1821 Legacy Dr
Faribault, MN 550211849
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Faribault, MN
Practicing in Faribault, MN (2262 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 23, 2023
NPI status registered as active in NPPES database
Registered at 1821 LEGACY DR, FARIBAULT, MN 550211849 (Tel: (469) 644-4226)
Registered at 1821 LEGACY DR, FARIBAULT, MN 550211849 (Tel: 4696444226)
Recorded as WAYNE HARRISON, DDS
Dentist (License #31923 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1821 Legacy Dr
Faribault, MN 550211849
Phone: 4696444226
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