Individual provider · Type 1 NPI
Lisa Ilene Harris, DMD
Pediatric Dentistry · Southington, CT
NPI number
1386279834
Active
Practice location
264 Queen St Unit A
Southington, CT 06489-1901
Mailing address
19 Arnold Way
West Hartford, CT 06119-1207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 12875 (CT) |
| Pediatric Dentistry Primary | 1223P0221X | 13337 (CT) |
Pediatric Dentistry: 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.
Other pediatric dentistry providers in Southington
About NPI 1386279834
Lisa Ilene Harris, DMD's National Provider Identifier is 1386279834, issued on Mar 5, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Southington, CT. The record was last updated on Aug 12, 2022.