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NPI Code Detail

MEDICARE: DR. JAMES DENTON HARDIE DMD

MEDICARE:  DR. JAMES DENTON HARDIE  DMD
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 Dentistry9165GA

General Provider Information

NPI Number : 1871656447
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES DENTON HARDIE DMD
Provider Business Mailing Address
First Line : 705 N WESTOVER BLVD
Second Line :
City : ALBANY
State : GA
Zip : 31707-1401
Country : US
Telephone Number : 229-432-6641
Fax Number : 229-432-6776
Provider Business Practice Location Address
First Line : 705 N WESTOVER BLVD
Second Line :
City : ALBANY
State : GA
Zip : 31707-1401
Country : US
Telephone Number : 229-432-6641
Fax Number : 229-432-6776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JAMES DENTON HARDIE DMD” Practice Location

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