Provider Demographics
NPI:1174671374
Name:JOHN HARRE DDS PC
Entity Type:Organization
Organization Name:JOHN HARRE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WOODROW
Authorized Official - Last Name:HARRE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-349-1220
Mailing Address - Street 1:10 ROCK POINTE LN
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-2672
Mailing Address - Country:US
Mailing Address - Phone:540-349-1220
Mailing Address - Fax:540-349-8279
Practice Address - Street 1:10 ROCK POINTE LN
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2672
Practice Address - Country:US
Practice Address - Phone:540-349-1220
Practice Address - Fax:540-349-8279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-06
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401-0060371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty