Randall D Harris DDS PC

Organization Active NPI General Practice Dentistry · Gales Ferry, CT

NPI 1568547321 · NPPES record last updated Jul 1, 2015

Key facts

NPI
1568547321
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
RANDALL D HARRIS DDS PC
Practice address
1527 Route 12
Gales Ferry, CT 06335-0396
Phone
(860) 464-7204
Fax
(860) 464-0186
NPI assigned
Oct 27, 2006
Organization subpart
No

Authorized official

Name
Dr. Randall D Harris, DDS NPI 1093977811
Title
Dentist President
Phone
(860) 464-7204

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X Yes
Pediatric Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223P0221X

Addresses

Primary practice location

1527 Route 12
Gales Ferry, CT 06335-0396

Mailing address

PO Box 396
Gales Ferry, CT 06335-0396
Phone (860) 464-7204

Other providers in Gales Ferry, CT

All providers in Gales Ferry, CT · General Practice Dentistry in Connecticut

Sources for this page

Verify at the official NPI Registry.