Robert Dover Harris, D.D.S.
Individual provider Active NPI General Practice Dentistry · Broadway, VA
NPI 1619255247 · NPPES record last updated Apr 27, 2016
Key facts
- NPI
- 1619255247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0401413222 (VA)
- Practice address
- 111A S Timberway
Broadway, VA 22815-9739 - Phone
- (540) 901-2151
- NPI assigned
- Aug 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401413222 | VA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401413222 | VA | Yes |
Addresses
Primary practice location
111A S Timberway
Broadway, VA 22815-9739
Mailing address
111A S Timberway
Broadway, VA 22815-9739
Phone (540) 901-2151
Other providers in Broadway, VA
- Jessica Lynn Dove
- Kathryn G Gallo
- Tabitha T Garrison
- Grindstone Counseling, LLC
- Jennifer Lee Grove
- Todd Hedinger
- Kathie Hiles
- Jordan Lynn Hill
- Monica P Johns
- Javier Cesar Leal-Cruz
All providers in Broadway, VA · General Practice Dentistry in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.