Randall D Harris Dds Pc in Gales Ferry - Pediatric Dentistry
Randall D Harris Dds Pc - NPI 1568547321
Randall D Harris Dds Pc is a Pediatric Dentistry in Gales Ferry, Connecticut. Randall D Harris Dds Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Randall D Harris Dds Pc is 1568547321. The last update date is 2015-07-01.
Randall D Harris Dds Pc's current location address is Po Box 396, Gales Ferry, Connecticut. You can contact this provider via phone number 8604647204 and fax number 8604640186. The mailing address for Randall D Harris Dds Pc is Po Box 396, Gales Ferry, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Randall D Harris Dds Pc |
|---|---|
| Address | Po Box 396, Gales Ferry, Connecticut |
| Phone Number | 8604647204 |
| Fax Number | 8604640186 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST PR |
|---|---|
| Authorized Official Name | Harris D Randall |
| Credentials | DDS |
| Telephone Number | 8604647204 |
NPI Number Detail
| NPI Number | 1568547321 |
|---|---|
| Provider Enumeration Date | 2006-10-27 |
| Last Updated Date | 2015-07-01 |
Provider Mailing Address Detail
| Address | Po Box 396 |
|---|---|
| City | Gales Ferry |
| State | Connecticut (CT) |
| Post Code | 63350396 |
| Phone Number | 8604647204 |
| Fax Number | 8604640186 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique 10-digit identification code assigned to Randall D Harris Dds Pc by the Centers for Medicare & Medicaid Services?
The Randall D Harris Dds Pc has been issued the NPI (National Provider Identifier) 1568547321, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Randall D Harris Dds Pc's physical address?
The Randall D Harris Dds Pc is physically located at Po Box 396, in the city of Gales Ferry, CT, with the postal code 63350396.
What is Randall D Harris Dds Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Randall D Harris Dds Pc is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did Randall D Harris Dds Pc receive its 1568547321 assignment from the Centers for Medicare & Medicaid Services?
The Randall D Harris Dds Pc was assigned its 1568547321 on 2006-10-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Randall D Harris Dds Pc's information last updated?
The Randall D Harris Dds Pc's information was last updated on 2015-07-01.