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HARRISON DENTAL GROUP I LLC
NPI 1710580600
Dentist - General Practice in Fort Wayne, IN

Active since November 21, 2020
6412 WINCHESTER RD, FORT WAYNE, IN 46819(260) 747-4747 Get Directions Write a Review

NPPES record last updated: November 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Harrison Dental Group I Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARRISON DENTAL GROUP I LLC (NPI 1710580600) is a healthcare organization registered as a general practice in Fort Wayne, Indiana and active in the NPI registry since November 2020. The organization lists Keith Harrison, Manager, as its authorized official.

NPPES Registry Identity

NPI1710580600
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHARRISON DENTAL GROUP I LLC
Location Address6412 WINCHESTER RDFort Wayne, IN 46819-1550
Mailing Address6412 Winchester RdFort Wayne, IN 46819-1550 · (260) 747-4747
Phone(260) 747-4747
Organization SubpartNo
Authorized OfficialKeith HarrisonManager · (260) 747-4747
Enumeration DateNovember 21, 2020
NPPES CertifiedNovember 21, 2020
✔ NPI 1710580600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
Also ListedDentistTaxonomy 122300000X
6412 WINCHESTER RD, Fort Wayne, IN 46819
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JORGE ANTONIO BALTZELL DDS
Dentist
6412 WINCHESTER RD
FORT WAYNE, IN 46819
Allen County (260) 747-4747
DR. KEITH HARRISON D.D.S.
Dentist (General Practice)
6412 WINCHESTER RD
FORT WAYNE, IN 46819
Allen County (260) 747-4747
EVAN FEICHTER
Dentist (General Practice)
6412 WINCHESTER RD
FORT WAYNE, IN 46819
Allen County (269) 747-4747
DR. DAVID K HARRISON D.D.S.
Dentist (General Practice)
6412 WINCHESTER RD
FORT WAYNE, IN 46819
Allen County (260) 747-4747
DAVID K. HARRISON DDS PC
Dentist (General Practice)
6412 WINCHESTER RD
FORT WAYNE, IN 46819
Allen County (260) 747-4747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harrison Dental Group I LLC's NPI number?

The NPI number for Harrison Dental Group I LLC is 1710580600. It was assigned to this organization in the NPPES registry on November 21, 2020.

Where is Harrison Dental Group I LLC located?

Harrison Dental Group I LLC is located at 6412 Winchester Rd, Fort Wayne, IN 46819. The listed phone number is (260) 747-4747.

What is Harrison Dental Group I LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Harrison Dental Group I LLC was last updated on November 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.