DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK LEE HARRIS II, DDS

Active Sole Proprietor

MARK LEE HARRIS II, DDS is a Dentist healthcare provider located in TYNDALL AFB, Florida. NPI 1780203174 is currently active in the NPPES registry. Verify at CMS.

Dentist · TYNDALL AFB, FL

Registration Details

NPI Number
1780203174
Provider Type
Individual
Gender
Male
NPI Issued
Apr 15, 2020 (6.3198188648682 yrs)
Last Updated
Sep 23, 2021
Licenses
STUDENT (MD)
0401417042 (VA)
Sole Proprietor
Yes

Practice Information

Address
340 MAGNOLIA CIR
TYNDALL AFB, FL, 324035604
Browse FL providers · Browse ZIP 32403
Phone
5028374448
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in TYNDALL AFB, FL

Name Credential NPI
DR. JENNIFER OLIVIA SIMMONS D.D.S. 1780964577
DR. ZACHARY FLINK D.D.S. 1982053617
ZACHARY CALEB CAMACHO DMD 1891479739
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.