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NPI Code Detail

MEDICARE: HARRIS DENTAL GROUP PLLC

MEDICARE: HARRIS DENTAL GROUP PLLC
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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1467822924
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARRIS DENTAL GROUP PLLC
Provider Business Mailing Address
First Line : 421 N 38TH ST
Second Line :
City : KILLEEN
State : TX
Zip : 76543-4153
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 421 N 38TH ST
Second Line :
City : KILLEEN
State : TX
Zip : 76543-4153
Country : US
Telephone Number : 254-634-0234
Fax Number :
Authorized Official
Title or Position : OWNER/DENTIST
Name : MICHAEL EUGENE HARRIS
Credential : DDS
Telephone Number : 254-634-0234
Provider Enumeration Date : 09/28/2015
Last Update Date : 06/18/2019

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Directions to “HARRIS DENTAL GROUP PLLC ” Practice Location

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