Provider Demographics
NPI:1578725503
Name:HARRISON, JAMES E JR (DDS, PC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:HARRISON
Suffix:JR
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3212 HAMPTON HIGHWAY, SUITE A
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-4948
Mailing Address - Country:US
Mailing Address - Phone:757-867-9341
Mailing Address - Fax:757-867-7743
Practice Address - Street 1:3212 HAMPTON HIGHWAY, SUITE A
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23693-4948
Practice Address - Country:US
Practice Address - Phone:757-867-9341
Practice Address - Fax:757-867-7743
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010063441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice