| Michael E Harris Dds Psc | |
|
218 W John Fitch Bandstown KY 40004 | |
| (502) 348-9775 | |
| (502) 348-2756 |
| Full Name | Michael E Harris Dds Psc |
|---|---|
| Speciality | Dentist |
| Location | 218 W John Fitch, Bandstown, Kentucky |
| Authorized Official Name and Position | Michael Earl Harris (PRESIDENT) |
| Authorized Official Contact | 5023489775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael E Harris Dds Psc 218 W John Fitch Bandstown KY 40004 Ph: (502) 348-9775 | Michael E Harris Dds Psc 218 W John Fitch Bandstown KY 40004 Ph: (502) 348-9775 |
| NPI Number | 1144438276 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144438276 | NPI | - | NPPES |
| 61900049 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4122 (Kentucky) | Primary |
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