Lance Herschel Harrison Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN27515 Issued in FL

Practice address

7725 Lake Worth Rd Ste 7729
Lake Worth, FL 33467-2536

Phone

(561) 359-6483

NPI assigned

Oct 29, 2007

Last updated

Mar 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clarksville Dental Spa, PLLC

  • Dentist
  • Clarksville, TN
  • NPI 1467739441
  NPD (past) Authorized official
• Michael G Pharris OD PC

  dba Adventure Dental and Vision

  • Optometrist
  • Baltimore, MD
  • NPI 1205006145
  NPD (past)
• Ronald B Montano DDS PC

  dba Adventure Dental and Vision

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1629251228
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1598944340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 PARK DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723147",
            "telephone_number": "561-388-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 LAKE WORTH RD STE 7729",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672536",
            "telephone_number": "561-359-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "LANCE",
        "middle_name": "HERSCHEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053622",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "8737",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Harmuth, DPT
• Barry Harnick, MSW, LCSW
• Adelaide Samantha Harper, PHARM.D
• Remington Harris
• Avery Michael Harrison, DMD
• Nekeshia Hart
• Tynsia Renee Nichole Harvey-Blount, MD
• Marilyn Gail Harvie, MS OTR/L
• Georges F. Hatoum, M.D.
• Larry A Hawkins, D.C.

• Dentist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.