Healthcare Provider Details

I. General information

NPI: 1497553572
Provider Name (Legal Business Name): HARTLEY AND FIELD DENTAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 SOUTH DR STE 200
MOUNTAIN VIEW CA
94040-4317
US

IV. Provider business mailing address

105 SOUTH DR STE 200
MOUNTAIN VIEW CA
94040-4317
US

V. Phone/Fax

Practice location:
  • Phone: 650-969-2600
  • Fax:
Mailing address:
  • Phone: 650-969-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: GABY JAMES
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 480-581-3998