Individual provider · Type 1 NPI

Michael D. Harris, MD, DDS

Oral and Maxillofacial Surgery (Dentist) · Provo, UT

NPI number 1669595765 Active

Practice location

3610 N University Ave, Suite 150
Provo, UT 84604-4437

Call (801) 356-2226 Map

Fax (801) 812-1734

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X326247 (UT)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1669595765

Michael D. Harris, MD, DDS's National Provider Identifier is 1669595765, issued on Apr 6, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Provo, UT. The record was last updated on Jul 8, 2007.