Organization Name: | MICHAEL STEPHEN HARRISON, JR, D.D.S. P.A. |
NPI Number: | 1497902514 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL STEPHEN HARRISON (OWNER) |
Mailing Address: | 4419 N Highway 7 Ste. 301 Hot Springs Village |
State: | AR US |
Postal Code: | 719099301 |
Phone Number: | 5019846400 |
Fax Number: | 5019844107 |
NPI Enumeration Date: | 08/20/2008 |
NPI Last Update Date: | 08/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 3552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |