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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA ILENE HARRIS, DMD

Active

LISA ILENE HARRIS, DMD is a Pediatric Dentistry healthcare provider located in SOUTHINGTON, Connecticut. NPI 1386279834 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · SOUTHINGTON, CT

Registration Details

NPI Number
1386279834
Provider Type
Individual
Gender
Female
NPI Issued
Mar 5, 2020 (6.4687873898824 yrs)
Last Updated
Aug 12, 2022
Licenses
12875 (CT)
13337 (CT)

Practice Information

Address
264 QUEEN ST UNIT A
SOUTHINGTON, CT, 064891901
Browse CT providers · Browse ZIP 06489
Phone
8604262643
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in SOUTHINGTON, CT

Name Credential NPI
DR. DOUGLAS J MACKO DMD 1881744092
DR. GRISELDA G KHOE DMD 1154443729
SARAH ANN MIR DDS 1841738861
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.