Healthcare Provider Details

I. General information

NPI: 1265367833
Provider Name (Legal Business Name): HARRIS DENTAL CENTERVILLE II HDC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 FALMOUTH RD STE 2F
CENTERVILLE MA
02632-2936
US

IV. Provider business mailing address

1645 FALMOUTH RD STE 2F
CENTERVILLE MA
02632-2936
US

V. Phone/Fax

Practice location:
  • Phone: 508-775-9363
  • Fax:
Mailing address:
  • Phone: 508-775-9363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ARIELA HARRIS
Title or Position: BUSINESS MANAGER
Credential:
Phone: 508-362-4885