Individual
DR. MICHAEL E HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
218 W JOHN FITCH AVE, BARDSTOWN, KY 40004-1115
(502) 348-9775
(502) 348-2756
Mailing address
218 W JOHN FITCH AVE, BARDSTOWN, KY 40004-1115
(502) 348-9775
(502) 348-2756
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4122
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60041225
—
KY
Enumeration date
11/02/2005
Last updated
07/08/2007
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