Provider Demographics
NPI:1801764550
Name:HARRISON SMILES PLLC
Entity type:Organization
Organization Name:HARRISON SMILES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JUMA
Authorized Official - Middle Name:
Authorized Official - Last Name:AL JARIRI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:540-538-4550
Mailing Address - Street 1:10510 RIDGE COVE LN
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22551-4720
Mailing Address - Country:US
Mailing Address - Phone:540-538-4550
Mailing Address - Fax:
Practice Address - Street 1:5830 HARRISON RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-4202
Practice Address - Country:US
Practice Address - Phone:540-739-7589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty