Michael D Harris, M.D., D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

326247 Issued in UT

Practice address

3610 N University Ave
Suite 150
Provo, UT 84604-4437

Phone

(801) 356-2226

Fax

(801) 812-1734

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 26, 2026 through Mar 26, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Utah Surgical Arts

  • Oral and Maxillofacial Surgery Clinic/Center
  • Provo, UT
  • NPI 1275722357
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669595765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 N UNIVERSITY AVE",
            "address_2": "SUITE 150",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044437",
            "telephone_number": "801-356-2226",
            "fax_number": "801-812-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 N UNIVERSITY AVE",
            "address_2": "SUITE 150",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044437",
            "telephone_number": "801-356-2226",
            "fax_number": "801-812-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D., D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "326247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Gail Harris, MDA, RDN
• Alisha J Harris, SPEECH PATHOLOGIST
• Jeffrey C Harris
• Kelly Harris, MA
• Makayla Brielle Harris, SSW
• Michael W. Harris, D.O.
• Rebecca Harris, OTR/L
• Rhonda Harris, PHD
• Richard Wood Harris, PH.D.
• Robert E. Harris, BC-HIS, ACA

• Oral and Maxillofacial Surgery (Dentist) in Provo, UT
• Providers in Provo, UT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.