Active NPIIndividual providerSole proprietor

Randall D Harris, DDS

Dentist, General Practice in Gales Ferry, Connecticut

NPI Number1093977811
Practice location
1527 Route 12, Gales Ferry, CT 06335-1800
Fax
860-464-0186
Last updated
July 2, 2008

Randall D. Harris is a Dentist, General Practice based in Gales Ferry, CT. Randall D. Harris practices in Gales Ferry, CT and has the professional credentials of DDS. The NPI Number for Randall D. Harris is 1093977811 and holds a License No. 004814 (CT). The current practice location address for Randall D. Harris is 1527 Route 12, Gales Ferry, CT 06335-1800 and can be reached out via phone at 860-464-7204 and via fax at 860-464-0186.

Provider Profile Details

NPI Number
1093977811
Provider Name
Randall D. Harris
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1527 Route 12, Gales Ferry, CT 06335-1800
Phone Number
860-464-7204
Fax Number
860-464-0186
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
July 2, 2008
Last Update Date
July 2, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1527 Route 12
Gales Ferry, CT 06335-1800
Zip
06335-1800
Phone Number
860-464-7204
Fax Number
860-464-0186
Gales Ferry, CT 06335Get directions →

Provider Business Mailing Address Details

Address
1527 Route 12
P.o. Box 396
Gales Ferry, CT 06335-1800
City
Gales Ferry
State
CT
Zip
06335-1800
Phone Number
860-464-7204
Fax Number
860-464-0186

License Information

License Number
004814
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Randall D Harris, DDS?

The NPI number of Randall D Harris, DDS is 1093977811. It was assigned on July 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Randall D Harris, DDS?

Randall D Harris, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 004814.

Where does Randall D Harris, DDS practice?

The practice location is 1527 Route 12, Gales Ferry, CT 06335-1800. The office can be reached at 860-464-7204 (phone) or 860-464-0186 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093977811 directly on the NPPES registry website.

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