Active NPIIndividual providerSole proprietor

Dr. Glenn R Harris, DMD

Dentist, General Practice in Edgartown, Massachusetts

NPI Number1730205352
Practice location
207 Upper Main St, Edgartown, MA 02539-5927
Fax
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Last updated
August 25, 2023

Glenn R Harris is a Dentist, General Practice based in Edgartown, MA. Glenn R Harris practices in Edgartown, MA and has the professional credentials of DMD. The NPI Number for Glenn R Harris is 1730205352 and holds a License No. DN14867 (MA). The current practice location address for Glenn R Harris is 207 Upper Main St, Edgartown, MA 02539-5927 and can be reached out via phone at 508-939-9000.

Provider Profile Details

NPI Number
1730205352
Provider Name
Glenn R Harris
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
207 Upper Main St, Edgartown, MA 02539-5927
Phone Number
508-939-9000
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 22, 2007
Last Update Date
August 25, 2023
Certification Date
August 25, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
207 Upper Main St
Edgartown, MA 02539-5927
Zip
02539-5927
Phone Number
508-939-9000
Edgartown, MA 02539Get directions →

Provider Business Mailing Address Details

Address
42 Evelyn Cir
Centerville, MA 02632-3438
City
Centerville
State
MA
Zip
02632-3438
Phone Number
508-737-2880

License Information

License Number
DN14867
License State
MA
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 Dr. Glenn R Harris, DMD?

The NPI number of Dr. Glenn R Harris, DMD is 1730205352. It was assigned on March 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Glenn R Harris, DMD?

Dr. Glenn R Harris, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN14867.

Where does Dr. Glenn R Harris, DMD practice?

The practice location is 207 Upper Main St, Edgartown, MA 02539-5927. The office can be reached at 508-939-9000 (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 1730205352 directly on the NPPES registry website.

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