Provider Demographics
NPI:1922022763
Name:HARRINGTON, RUDOLPH COLE JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:RUDOLPH
Middle Name:COLE
Last Name:HARRINGTON
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SURREY CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-3139
Mailing Address - Country:US
Mailing Address - Phone:803-772-5628
Mailing Address - Fax:803-798-2193
Practice Address - Street 1:9 SURREY CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-3139
Practice Address - Country:US
Practice Address - Phone:803-772-5628
Practice Address - Fax:803-798-2193
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice