Provider Demographics
NPI:1659678985
Name:HARRINGTON, BRIAN ALEX (DMD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:ALEX
Last Name:HARRINGTON
Suffix:
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 1:508 MIRASOL CIR APT 202
Mailing Address - Street 2:
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-5138
Mailing Address - Country:US
Mailing Address - Phone:440-382-7799
Mailing Address - Fax:
Practice Address - Street 1:508 MIRASOL CIR APT 202
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5138
Practice Address - Country:US
Practice Address - Phone:440-382-7799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN19263122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist