Provider Demographics
NPI:1336382159
Name:HARRINGTON, CHARLES C (DDS)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:C
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 1:11904 DARNESTOWN RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-3202
Mailing Address - Country:US
Mailing Address - Phone:301-977-1441
Mailing Address - Fax:301-977-0746
Practice Address - Street 1:11904 DARNESTOWN RD
Practice Address - Street 2:SUITE C
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-3202
Practice Address - Country:US
Practice Address - Phone:301-977-1441
Practice Address - Fax:301-977-0746
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12321122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD703766OtherUNITED CONCORDIA