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NPI Code Detail

MEDICARE: DR. WILLIAM JOSEPH HARTMAN D.D.S.

MEDICARE: DR. WILLIAM JOSEPH HARTMAN D.D.S.
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
11223G0001XGeneral Practice DentistryDEN-10207CO

General Provider Information

NPI Number : 1710299797
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM JOSEPH HARTMAN D.D.S.
Provider Business Mailing Address
First Line : 14436 E 1ST DR APT C4
Second Line :
City : AURORA
State : CO
Zip : 80011-8760
Country : US
Telephone Number : 719-337-1204
Fax Number :
Provider Business Practice Location Address
First Line : 5392 S WADSWORTH BLVD
Second Line :
City : LAKEWOOD
State : CO
Zip : 80123-1271
Country : US
Telephone Number : 303-979-4277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2010
Last Update Date : 07/07/2010

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