# MICHAEL E HARRIS DDS PSC

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

## Provider details

- **NPI number:** 1144438276
- **Authorized official:** MICHAEL EARL HARRIS DDS (PRESIDENT)
- **Authorized official phone:** (502) 348-9775

## Contact information

- **Practice address:** 218 W JOHN FITCH, BANDSTOWN, KY 40004
- **Practice address phone:** (502) 348-9775
- **Practice address fax:** (502) 348-2756
- **Mailing address:** 218 W JOHN FITCH, BANDSTOWN, KY 40004
- **Mailing address phone:** (502) 348-9775
- **Mailing address fax:** (502) 348-2756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4122 | KY | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 61900049 | — | KY |