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NPI Code Detail

MEDICARE: DR. MARY T HARRINGTON DMD

MEDICARE: DR. MARY T HARRINGTON DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist217885MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114050440
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY T HARRINGTON DMD
Provider Business Mailing Address
First Line : 3432 W CAPITOL ST
Second Line :
City : JACKSON
State : MS
Zip : 39209
Country : US
Telephone Number : 601-352-9090
Fax Number : 601-352-7331
Provider Business Practice Location Address
First Line : 3432 W CAPITOL ST
Second Line :
City : JACKSON
State : MS
Zip : 39209
Country : US
Telephone Number : 601-352-9090
Fax Number : 601-352-7331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 12/05/2016

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