Organization
MICHAEL E HARRIS DDS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EARL HARRIS DDS (PRESIDENT)
(502) 348-9775
Entity
Organization
Contact information
Practice address
218 W JOHN FITCH, BANDSTOWN, KY 40004
(502) 348-9775
(502) 348-2756
Mailing address
218 W JOHN FITCH, BANDSTOWN, KY 40004
(502) 348-9775
(502) 348-2756
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4122
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61900049
—
KY
Enumeration date
05/21/2007
Last updated
08/22/2020
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