Provider Demographics
NPI:1912040957
Name:HARMON, MICHELLE SAYLOR (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:SAYLOR
Last Name:HARMON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5864 PEACOCK LN
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548-4056
Mailing Address - Country:US
Mailing Address - Phone:770-967-3300
Mailing Address - Fax:
Practice Address - Street 1:2470 DANIELS BRIDGE ROAD
Practice Address - Street 2:BUILDING 200, SUITE H
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606
Practice Address - Country:US
Practice Address - Phone:770-967-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0130621223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry