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NPI Code Detail

MEDICARE: THOMAS HARDENBERGH DDS

MEDICARE:   THOMAS  HARDENBERGH  DDS
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.00205966CO

General Provider Information

NPI Number : 1124868930
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS HARDENBERGH DDS
Provider Business Mailing Address
First Line : 5001 S PARKER RD STE 106
Second Line :
City : AURORA
State : CO
Zip : 80015-1182
Country : US
Telephone Number : 616-633-0951
Fax Number :
Provider Business Practice Location Address
First Line : 5001 S PARKER RD STE 106
Second Line :
City : AURORA
State : CO
Zip : 80015-1182
Country : US
Telephone Number : 303-694-0028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2024
Last Update Date : 06/11/2025

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Directions to “ THOMAS HARDENBERGH DDS” Practice Location

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