DR. MICHAEL D HARRIS M.D., D.D.S.
NPI 1669595765
Dentist - Oral and Maxillofacial Surgery in Provo, UT

Active since April 06, 2007Opted out of Medicare · through Mar 26, 2028
3610 N UNIVERSITY AVE, SUITE 150, PROVO, UT 84604(801) 356-2226(801) 812-1734 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael D Harris M.d., D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL D HARRIS M.D., D.D.S. (NPI 1669595765) is an individual oral and maxillofacial surgery provider in Provo, Utah, licensed in Utah (326247) and active in the NPI registry since April 2007. He has opted out of Medicare through March 26, 2028.

NPPES Registry Identity

NPI1669595765
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MICHAEL D HARRISCredential: M.D., D.D.S.
Location Address3610 N UNIVERSITY AVE, SUITE 150Provo, UT 84604-4437
Mailing Address3610 N University Ave, Suite 150Provo, UT 84604-4437 · (801) 356-2226 · Fax (801) 812-1734
Fax(801) 812-1734
Sole ProprietorNo
Enumeration DateApril 6, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1669595765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in UT · 326247
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3610 N UNIVERSITY AVE, Provo, UT 84604

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Michael D Harris M.d., D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 26, 2026 through March 26, 2028.

Opt-Out Effective DateMarch 26, 2026
Opt-Out In Effect ThroughMarch 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Oral and Maxillofacial Surgery)
3610 N UNIVERSITY AVE, SUITE 150
PROVO, UT 84604
Dentist (General Practice)
3610 N UNIVERSITY AVE, #200
PROVO, UT 84604
Dentist (Orthodontics and Dentofacial Orthopedics)
3610 N UNIVERSITY AVE, SUITE #175
PROVO, UT 84604
Dentist (Oral and Maxillofacial Surgery)
3610 N UNIVERSITY AVE, SUITE 150
PROVO, UT 84604
Dentist (General Practice)
3610 N UNIVERSITY AVE
PROVO, UT 84604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Harris's NPI number?

The NPI number for Michael Harris is 1669595765. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Michael Harris located?

Michael Harris practices at 3610 N University Ave Suite 150, Provo, UT 84604. The listed phone number is (801) 356-2226.

What is Michael Harris's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael Harris enrolled in Medicare?

No. Michael Harris has opted out of Medicare through March 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Michael Harris accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Michael Harris as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Harris was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.