DR. JESSE BLUFORD HARRIS (NPI# 1851487433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851487433 |
| Entity Type | Individual |
| Full Name | DR. JESSE BLUFORD HARRIS |
| Credential | D.D.S., M.S.D. |
| Practice Address |
9102 Rutland Greens Way A Mechanicsville VA 23116 |
| Practice Telephone | 8045593636 |
| Practice Fax Number | 8047898426 |
| Mailing Telephone | 8045593636 |
| Mailing Fax Number | 8047898426 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
1223 | AK | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
0401411059 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487639050 | Jesse D Harris | Internal Medicine | 4845 Knightsbridge Blvd, Suite 100, Columbus, OH 43214-2463 | 2005-12-07 |
| 1962759530 | Jesse Jo Harris | Social Worker | 301 N 27th St, Suite 100, Billings, MT 59101-1261 | 2012-08-13 |
| Street Address |
9102 RUTLAND GREENS WAY A |
| City | MECHANICSVILLE |
| State | VA |
| Zip Code | 23116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131664 | Orthovirginia, Inc | Physician Assistant | 9369 Atlee Road Unit 3107, Mechanicsville, VA 23116 | 2019-12-12 |
| 1558915702 | Rachelle Lamaris Smith | Counselor | 7611 Magazine Drive, Mechanicsville, VA 23116 | 2019-07-26 |
| 1467004952 | Katherine Romero-davis | Speech-Language Pathologist | Sheltering Arms Rehabilitation Hospital, 8254 Atlee Road, Mechanicsville, VA 23116 | 2019-07-15 |
| 1275092850 | Melissa Harp Harden | Occupational Therapist | 9366 Count Kristopher Dr, Mechanicsville, VA 23116 | 2019-03-13 |
| 1467969105 | Lynsey Marie Preisner | Physician Assistant | 8262 Atlee Road Suite 202, Mechanicsville, VA 23116 | 2018-01-03 |
| 1912437526 | Kim S Hammonds | Nurse Practitioner | 8102 Braxton Court, Mechanicsville, VA 23116 | 2017-06-15 |
| 1023547528 | Gina Elysia Wurfel | Social Worker | 9126 Ashlar Pl, Mechanicsville, VA 23116 | 2017-06-08 |
| 1063945624 | Lisa Gervasoni | Occupational Therapist | 8254 Attlee Road, Mechanicsville, VA 23116 | 2017-04-10 |
| 1679006308 | Kerri Eggleston | Physical Therapist | 8226 Meadowbridge Road, Mechanicsville, VA 23116 | 2017-04-10 |
| 1659823466 | Mechanicsville Chemist LLC | Pharmacy | 8324 Bell Creek Road, Suite Number 800, Mechanicsville, VA 23116 | 2016-10-27 |
| Find all providers in zip 23116 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898214 | Sally Abdelkarim | Dentist | 556 Garrisonville Rd Ste 200, Stafford, VA 22554-7826 | 2020-07-10 |
| 1225655939 | Avisha Rakesh Shah | Dentist | 3712 Old Forest Rd Ste 100, Lynchburg, VA 24501-6963 | 2020-06-29 |
| 1821621467 | Blessed Smiles | Dentist | 5249 Duke St Ste L-10, Alexandria, VA 22304-2926 | 2020-02-21 |
| 1205307238 | Ideal Endodontics of Woodbridge Pllc | Dentist | 3102 Golansky Blvd Ste 101, Woodbridge, VA 22192-4244 | 2018-12-17 |
| 1154892677 | Prince William Parkway Dental PC | Dentist | 2542 Prince William Pkwy Ste 120, Woodbridge, VA 22192-4149 | 2018-12-10 |
| 1831671353 | Sachin Rastogi Dmd Pllc | Dentist | 6116 Rolling Rd Ste 304, Springfield, VA 22152-1512 | 2018-08-31 |
| 1588143309 | Deepika Ganesh | Dentist | 2601 Swiftrun Rd, Chester, VA 23831-5234 | 2018-08-13 |
| 1134614092 | Specialist Care Endodontics LLC | Dentist | 1964 Gallows Rd Ste 220, Vienna, VA 22182-3814 | 2018-06-24 |
| 1447744131 | Fouad Almalki | Dentist | 1533 Volvo Pkwy, Chesapeake, VA 23320-8489 | 2018-06-18 |
| 1164911863 | Arlington Dental Excellence Specialists Pllc | Dentist | 3801 Fairfax Dr Ste 54, Arlington, VA 22203-1762 | 2018-05-08 |
| Find all providers with the same taxonomy | ||||
| City | MECHANICSVILLE |
| Zip Code | 23116 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.