Provider Demographics
NPI:1699816132
Name:HARRINGTON ORTHODONTICS LTD
Entity Type:Organization
Organization Name:HARRINGTON ORTHODONTICS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:763-473-7656
Mailing Address - Street 1:15600 36TH AVE N
Mailing Address - Street 2:SUITE 170
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-3369
Mailing Address - Country:US
Mailing Address - Phone:763-473-7656
Mailing Address - Fax:763-473-0902
Practice Address - Street 1:15600 36TH AVE N
Practice Address - Street 2:SUITE 170
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-3369
Practice Address - Country:US
Practice Address - Phone:763-473-7656
Practice Address - Fax:763-473-0902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN100831223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty