Provider Demographics
NPI:1346367406
Name:FLEMING, HAROLD A (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:A
Last Name:FLEMING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2959 SLEEPY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2002
Mailing Address - Country:US
Mailing Address - Phone:703-534-8711
Mailing Address - Fax:703-532-8767
Practice Address - Street 1:2959 SLEEPY HOLLOW RD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2002
Practice Address - Country:US
Practice Address - Phone:703-534-8711
Practice Address - Fax:703-532-8767
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010060161223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0401006016OtherSTATE LICENSE