Active NPI 1730205352 Individual Practitioner Male Practitioner

Dr. Glenn R Harris , DMD

Dentist - General Practice • Edgartown, MA

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Harris, DMD is a registered healthcare professional specializing in Dentist - General Practice in Edgartown, MA. Practice services are available at 207 UPPER MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

207 Upper Main St

Edgartown, MA 025395927

Telephone 5089399000

Associated Practice Facility / Clinic

🏢 Main Street Dental Facility NPI 1124359773

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Edgartown, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Edgartown, MA (3722 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-25

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN14867

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. John Hartley , DDS

Dentist - General Practice

NPI 1285965210

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location August 25, 2023

Registered at 207 UPPER MAIN ST, EDGARTOWN, MA 025395927 (Tel: 5089399000)

📍

Updated Business Mailing Address August 25, 2023

Registered at 42 EVELYN CIR, CENTERVILLE, MA 026323438 (Tel: 5087372880)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2023

Dentist (License #DN14867 in MA)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 310 BARNSTABLE ROAD, SUITE 302, HYANNIS, MA 02601 (Tel: 5087784488)

📍

Updated Business Mailing Address July 08, 2007

Registered at 49 EVELYN CIRCLE, CENTERVILLE, MA 02632 (Tel: 5087904930)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as GLENN HARRIS, DMD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #14867 in MA)

🟢

Initial NPI Registration & Enumeration March 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1730205352

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 22, 2007

Last Update: August 25, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

42 Evelyn Cir

Centerville, MA 026323438

Phone: 5087372880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.