MEDICARE: DR. MARK PRESSLY HARRIS DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	14719	NC

General Provider Information

NPI Number	:	1619668852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK PRESSLY HARRIS DMD

Provider Business Mailing Address
First Line	:	2222 CONCORD LAKE RD
Second Line	:
City	:	KANNAPOLIS
State	:	NC
Zip	:	28083-7415
Country	:	US
Telephone Number	:	704-247-9146
Fax Number	:	704-786-0086

Provider Business Practice Location Address
First Line	:	2222 CONCORD LAKE RD
Second Line	:
City	:	KANNAPOLIS
State	:	NC
Zip	:	28083-7415
Country	:	US
Telephone Number	:	704-247-9146
Fax Number	:	704-786-0086

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2023
Last Update Date	:	06/11/2026

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