| Randall D Harris Dds Pc | |
|
1527 Route 12 Gales Ferry CT 06335-0396 | |
| (860) 464-7204 | |
| (860) 464-0186 |
| Full Name | Randall D Harris Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1527 Route 12, Gales Ferry, Connecticut |
| Authorized Official Name and Position | Randall D Harris (DENTIST PRESIDENT) |
| Authorized Official Contact | 8604647204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall D Harris Dds Pc Po Box 396 Gales Ferry CT 06335-0396 Ph: (860) 464-7204 | Randall D Harris Dds Pc 1527 Route 12 Gales Ferry CT 06335-0396 Ph: (860) 464-7204 |
| NPI Number | 1568547321 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 07/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568547321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
Gales Ferry Orthodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1527 Route 12, Gales Ferry, CT 06335 Phone: 860-464-7204 Fax: 860-464-0186 |