Dr. Michael B Harrison
Oral and Maxillofacial Surgeon
10555 Crestwood Dr
Manassas
, Virginia 20109-4412
Dr. Michael B Harrison
Oral and Maxillofacial Surgeon
10555 Crestwood Dr
Manassas
, Virginia 20109-4412
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael B Harrison
- 11226 Beach Mill Rd
- Great Falls, VA
- Zip : 22066-3024
- Phone :
Second Address
- Dr. Michael B Harrison
- 10555 Crestwood Dr
- Manassas, VA
- Zip : 20109-4412
- Phone : (703) 385-6688
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 0401006032 | VA |
National Provider Identifier
| NPI | 1063510543 |
|---|---|
| Provider Name | Dr. Michael B Harrison |
| First Address | Great Falls, VA 22066-3024 |
| Second Address | Manassas, VA 20109-4412 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T73420 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.