Healthcare Provider Details

I. General information

NPI: 1356281992
Provider Name (Legal Business Name): HARRIS DENTAL ASSOCIATES HDA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 FALMOUTH RD STE 4B
CENTERVILLE MA
02632-2934
US

IV. Provider business mailing address

PO BOX 487
BARNSTABLE MA
02630-0487
US

V. Phone/Fax

Practice location:
  • Phone: 508-771-0605
  • Fax:
Mailing address:
  • Phone: 508-771-0605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

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