MEDICARE: DR. PAUL HARRIS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	0401410526	VA

General Provider Information

NPI Number	:	1477698728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL HARRIS DDS

Provider Business Mailing Address
First Line	:	420 HOSPITAL DR
Second Line	:
City	:	WARRENTON
State	:	VA
Zip	:	20186-3026
Country	:	US
Telephone Number	:	540-347-2777
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 HOSPITAL DR
Second Line	:
City	:	WARRENTON
State	:	VA
Zip	:	20186-3026
Country	:	US
Telephone Number	:	540-347-2777
Fax Number	:	540-347-2771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	01/13/2026

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