Individual
MICHAEL STEPHEN HARRISON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
122 CORPORATE TERRACE, HOT SPRINGS, AR 71913
(501) 520-6677
(501) 520-6688
Mailing address
122 CORPORATE TERRACE, HOT SPRINGS, AR 71913
(501) 520-6677
(501) 520-6688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2277
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58873
BLUE CROSS BLUE SHIELD
AR
01
—
662110
UNITED CONCORDIA
—
01
—
8102
DELTA
—
Enumeration date
10/06/2006
Last updated
07/08/2007
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