Lisa I Harris, DMD
Dentist, Pediatric Dentistry in Southington, Connecticut
1386279834- Practice location
- 264 Queen St Unit A, Southington, CT 06489-1901
- Phone
- 860-426-2643
- Fax
- —
- Last updated
- August 12, 2022
Lisa Ilene Harris is a Dentist, Pediatric Dentistry based in Southington, CT. Lisa Ilene Harris practices in Southington, CT and has the professional credentials of DMD. The NPI Number for Lisa Ilene Harris is 1386279834 and holds a License No. 12875 (CT). The current practice location address for Lisa Ilene Harris is 264 Queen St Unit A, Southington, CT 06489-1901 and can be reached out via phone at 860-426-2643.
Provider Profile Details
- NPI Number
- 1386279834
- Provider Name
- Lisa Ilene Harris
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 264 Queen St Unit A, Southington, CT 06489-1901
- Phone Number
- 860-426-2643
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 5, 2020
- Last Update Date
- August 12, 2022
- Certification Date
- August 12, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 264 Queen St Unit A
Southington, CT 06489-1901 - City
- Southington
- State
- Connecticut
- Zip
- 06489-1901
- Phone Number
- 860-426-2643
Provider Business Mailing Address Details
- Address
- 19 Arnold Way
West Hartford, CT 06119-1207 - City
- West Hartford
- State
- CT
- Zip
- 06119-1207
- Phone Number
- 860-707-3216
License Information
- License Number (1)
- 12875
- License State (1)
- CT
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 13337
- License State (2)
- CT
- Taxonomy (2)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Southington, CT
View all Dentist, Pediatric Dentistry providers in Southington →- Dr. Douglas J Macko, DMDDentist, Pediatric Dentistry · NPI 1881744092
- Dr. Griselda G Khoe, DMDDentist, Pediatric Dentistry · NPI 1154443729
- Just4kidzdentistryDentist, Pediatric Dentistry · NPI 1790116036
- Sarah A Mir, DDSDentist, Pediatric Dentistry · NPI 1841738861
- The Little Tooth Company Pediatric Dentistry LLCDentist, Pediatric Dentistry · NPI 1023569654
Frequently Asked Questions
What is the NPI number of Lisa I Harris, DMD?
The NPI number of Lisa I Harris, DMD is 1386279834. It was assigned on March 5, 2020 and is currently active in the NPPES registry.
What is the specialty of Lisa I Harris, DMD?
Lisa I Harris, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number 12875.
Where does Lisa I Harris, DMD practice?
The practice location is 264 Queen St Unit A, Southington, CT 06489-1901. The office can be reached at 860-426-2643 (phone).
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 1386279834 directly on the NPPES registry website.