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 |