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Organization
CHARLES E. HARRIS DDS, PC
Active
Organization
CHARLES E. HARRIS DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES EDWARD HARRIS DDS (PRESIDENT)
(540) 951-3989
Entity
Organization
Contact information
Practice address
210 PROFESSIONAL PARK DR SE, SUITE 11, BLACKSBURG, VA 24060-6680
(540) 951-3989
(540) 951-0273
Mailing address
210 PROFESSIONAL PARK DR SE, SUITE 11, BLACKSBURG, VA 24060-6680
(540) 951-3989
(540) 951-0273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005520
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067063
ANTHEM PROVIDER NUMBER
VA
Enumeration date
05/24/2007
Last updated
08/22/2020
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