Michael Alvin Harris, DMD
Individual provider Active NPI Dentist · Ambridge, PA
NPI 1184054512 · NPPES record last updated Nov 21, 2013
Key facts
- NPI
- 1184054512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS018917L (PA)
- Practice address
- 398 Maplewood Ave
Ambridge, PA 15003-2518 - Phone
- (724) 266-1209
- Fax
- (724) 266-3427
- NPI assigned
- Nov 21, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS018917L | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M.a. Harrisd.M.D. & Assoc. P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS018917L | PA | Yes |
Addresses
Primary practice location
398 Maplewood Ave
Ambridge, PA 15003-2518
Mailing address
398 Maplewood Ave
Ambridge, PA 15003-2518
Phone (724) 266-1209
Other providers in Ambridge, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.