Provider Demographics
NPI:1255493383
Name:HARRINGTON, DANIEL PHILLIP (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:PHILLIP
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-4853
Mailing Address - Country:US
Mailing Address - Phone:406-782-1239
Mailing Address - Fax:406-782-1230
Practice Address - Street 1:1550 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-4853
Practice Address - Country:US
Practice Address - Phone:406-782-1239
Practice Address - Fax:406-782-1230
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMT1752122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1255493383OtherNPI