Jack Harris, DMD

NPI 1427706035 · on the registry since 2022

Practice

Address: 690 N Il Route 31
Crystal Lake, IL 60012
Phone: (815) 459-5600
Fax: (815) 459-5601
Organisation at this address: Frazier & Kopp Dds Pc
Pediatric Dental Associates, Pc
Frederick M. Fitzpatrick, D.D.S., P.C.
Crystal Lake Oral Maxillofacial Surgery Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois