Individual
DR. CHAD FULTON HARRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
3340 DOUGLAS RD., SOUTH BEND, IN 46635
(574) 233-7444
(574) 233-7273
Mailing address
3340 DOUGLAS RD., SOUTH BEND, IN 46635
(574) 233-7444
(574) 233-7273
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12010498A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100312360-A
—
IN
Enumeration date
12/11/2006
Last updated
12/18/2013
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