Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Jeffrey Harrison

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1972006914

Michael Jeffrey Harrison is an Oral Surgery in Portage, Michigan. Qualified in 2022, 4 years ago. Practices with Kalamazoo Oral and Maxillofacial Surgery PC, a 4-clinician group. Licensed in Illinois and Michigan.

Years since qualifying
4
Licensed in
IL, MI
In the registry since
2018
Specialties on file
2

Practice location Address checks out

3801 Glenkerry Ct Ste 2
Portage, MI 49024-0711
Phone: (269) 323-1527
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 2901601232 (MI)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence TEMPORARY (IL)

Record details

NPI number1972006914
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 15, 2018
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022
Mailing address3801 Glenkerry Ct Ste 2, Portage, MI 49024-0711

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Kalamazoo Oral And Maxillofacial Surgery Pc — 4 clinicians
Accepts Medicare assignment Not indicated

Other providers in Portage