MEDICARE: MR. EDWARD F. 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	3330	ME

General Provider Information

NPI Number	:	1528277332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EDWARD F. HARRIS DMD

Provider Business Mailing Address
First Line	:	PO BOX 67
Second Line	:
City	:	ROBBINSTON
State	:	ME
Zip	:	04671-0067
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PLEASANT POINT HEALTH CENTER
Second Line	:	11 BACK ROAD
City	:	PERRY
State	:	ME
Zip	:	04667
Country	:	US
Telephone Number	:	207-853-0644
Fax Number	:	207-853-2347

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	07/09/2007

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