MEDICARE: DR. MICHAEL HENRY HARDS 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
1	1223G0001X	General Practice Dentistry	30-01-6901	OH
2	1223G0001X	General Practice Dentistry	DN9372	FL

General Provider Information

NPI Number	:	1134276165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL HENRY HARDS D.D.S.

Provider Business Mailing Address
First Line	:	3525 ADMIRALTY CT
Second Line	:
City	:	BELLE ISLE
State	:	FL
Zip	:	32812-3521
Country	:	US
Telephone Number	:	407-496-1639
Fax Number	:

Provider Business Practice Location Address
First Line	:	3525 ADMIRALTY CT
Second Line	:
City	:	BELLE ISLE
State	:	FL
Zip	:	32812-3521
Country	:	US
Telephone Number	:	407-496-1639
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	12/14/2021

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