Healthcare Provider Details

I. General information

NPI: 1750643763
Provider Name (Legal Business Name): CHRISTOPHER DAROLD HARWARD DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2012
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 N PAIUTE DR
CEDAR CITY UT
84721-6181
US

IV. Provider business mailing address

440 N PAIUTE DR
CEDAR CITY UT
84721-6181
US

V. Phone/Fax

Practice location:
  • Phone: 435-867-2650
  • Fax: 435-867-2658
Mailing address:
  • Phone: 435-867-2650
  • Fax: 435-867-2658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number8420
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number8563983
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: