Provider Demographics
NPI:1447998620
Name:HARRIS DENTAL HYANNIS (HDH) P.L.L.C.
Entity type:Organization
Organization Name:HARRIS DENTAL HYANNIS (HDH) P.L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGIONAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HILLARY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUGGIERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-362-4885
Mailing Address - Street 1:PO BOX 487
Mailing Address - Street 2:
Mailing Address - City:BARNSTABLE
Mailing Address - State:MA
Mailing Address - Zip Code:02630-0487
Mailing Address - Country:US
Mailing Address - Phone:508-775-0933
Mailing Address - Fax:508-362-0219
Practice Address - Street 1:306 WINTER ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-2960
Practice Address - Country:US
Practice Address - Phone:508-775-0933
Practice Address - Fax:508-362-0219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty