Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Harrison Dental Group I LLC

Organization Dentist · NPI 1710580600

Harrison Dental Group I LLC is a Dentist in Fort Wayne, Indiana. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6412 Winchester Rd
Fort Wayne, IN 46819-1550
Phone: (260) 747-4747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X

Record details

NPI number1710580600
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Harrison — Manager · (260) 747-4747
NPI enumeratedNovember 21, 2020
Last updated in NPPESNovember 21, 2020
Certification dateNovember 21, 2020
Mailing address6412 Winchester Rd, Fort Wayne, IN 46819-1550

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