Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780203174 Individual Practitioner Male Practitioner

Dr. Mark Lee Harris , DDS

Dentist • Tyndall Afb, FL

Professional Overview & Biography Verified Profile Summary

Dr. Mark Harris, DDS is a registered healthcare professional specializing in Dentist in Tyndall Afb, FL. Practice services are available at 340 MAGNOLIA CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

340 Magnolia Cir

Tyndall Afb, FL 324035604

Telephone 5028374448
Associated Practice Facility / Clinic
🏢 325th Medical Group Facility NPI 1043375389

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Tyndall Afb, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Tyndall Afb, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-23
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License VA 0401417042

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License MD STUDENT

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
Dr. Preston Duffin , DDS, MS

Dentist - Orofacial Pain

NPI 1003044991

Doctor of Dental Surgery, Master of Science

Lillybeth Muniz Lugo

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1003234667
Dr. John Heil , MD

Preventive Medicine - Aerospace Medicine

NPI 1043396104

Doctor of Medicine (M.D.)

Dr. Janet Mcewan , PhD

Psychologist - Clinical

NPI 1053677054

Doctor of Philosophy (Ph.D.)

NPI 1093041733

Doctor of Pharmacy (Pharm.D.)

Timothy Gallagher , LCSW

Social Worker - Clinical

NPI 1093273625

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 23, 2021

Registered at 340 MAGNOLIA CIR, TYNDALL AFB, FL 324035604 (Tel: 5028374448)

📍
Updated Business Mailing Address September 23, 2021

Registered at 340 MAGNOLIA CIR # 5612, TYNDALL AFB, FL 324035612 (Tel: 8502832778)

👤
Provider Name / Credentials Updated September 23, 2021

Recorded as MARK HARRIS, DDS

NPI Profile Active April 15, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2020

Registered at 650 W BALTIMORE ST, BALTIMORE, MD 212011510 (Tel: 7107067101)

📍
Updated Business Mailing Address April 15, 2020

Registered at 11 S EUTAW ST APT 1502, BALTIMORE, MD 212011696 (Tel: 7174904976)

👤
Provider Name / Credentials Updated April 15, 2020

Recorded as MARK HARRIS, STUDENT DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2020

Dentist (License #STUDENT in MD)

🟢
Initial NPI Registration & Enumeration April 15, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780203174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2020
Last Update: September 23, 2021
Sole Proprietor: Yes

Mailing Address

340 Magnolia Cir # 5612

Tyndall Afb, FL 324035612

Phone: 8502832778

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.