IndividualActive
Michael Harris, M.D., D.D.S.
NPI 1669595765 · Oral and Maxillofacial Surgery (Dentist) · Provo, UT
Provider details
- NPI number
- 1669595765
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- M.D., D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 326247 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3610 N University Ave
Suite 150
Provo, UT 84604-4437
Phone: (801) 356-2226
Fax: (801) 812-1734
Street-level locationGet directions
Mailing address
3610 N University Ave
Provo, UT 84604-4437
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.