Dr Kerisa Harriott, DMD - Dentist in Marietta, GA

Dr Kerisa Harriott, DMD is a Dentist - Orthodontics And Dentofacial Orthopedics based in Marietta, Georgia. Dr Kerisa Harriott is licensed to practice in Georgia (license number DN123004) and her current practice location is 1111 Johnson Ferry Rd # 10, Marietta, Georgia. She can be reached at her office (for appointments etc.) via phone at (718) 764-7479.

NPI number for Dr Kerisa Harriott is 1356607600 and her current mailing address is 1512 Justine Way Se, Mableton, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356607600.

Contact Information

Dr Kerisa Harriott, DMD
1111 Johnson Ferry Rd # 10,
Marietta, GA 30068-2181
(718) 764-7479
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kerisa Harriott
GenderFemale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location1111 Johnson Ferry Rd # 10, Marietta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356607600
  • Provider Enumeration Date: 04/11/2012
  • Last Update Date: 07/21/2023

Medical Identifiers

Medical identifiers for Dr Kerisa Harriott such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356607600NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 056887 (New York)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics DN123004 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kerisa Harriott is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kerisa Harriott, DMD
1512 Justine Way Se,
Mableton, GA 30126-2839

Ph: (718) 764-7479
Dr Kerisa Harriott, DMD
1111 Johnson Ferry Rd # 10,
Marietta, GA 30068-2181

Ph: (718) 764-7479

Reviews and Comments


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