Provider Demographics
NPI:1528512571
Name:HARRINGTON, DUSTIN K (DMD)
Entity type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:K
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 1:17000 RED HILL AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5626
Mailing Address - Country:US
Mailing Address - Phone:714-845-8890
Mailing Address - Fax:949-474-1495
Practice Address - Street 1:280 VISTA KNOLL PKWY
Practice Address - Street 2:114
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-5647
Practice Address - Country:US
Practice Address - Phone:775-971-9282
Practice Address - Fax:775-971-9283
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6798122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist