# MICHAEL S. HARRIS DMD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013452788
- **Authorized official:** DR. MICHAEL S HARRIS DMD (DOCTOR/PROVIDER)
- **Authorized official phone:** (561) 204-3242

## Contact information

- **Practice address:** 12794 FOREST HILL BLVD, SUITE 27A, WELLINGTON, FL 33414-4710
- **Practice address phone:** (561) 204-3242
- **Practice address fax:** (561) 204-3243
- **Mailing address:** 12794 FOREST HILL BLVD, SUITE 27A, WELLINGTON, FL 33414-4710
- **Mailing address phone:** (561) 204-3242
- **Mailing address fax:** (561) 204-3243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2017
- **Last updated:** 01/04/2017