Provider Demographics
NPI:1003807108
Name:HARDIN, SCOTT RICHARDSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:RICHARDSON
Last Name:HARDIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 WILDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-3023
Mailing Address - Country:US
Mailing Address - Phone:919-338-2806
Mailing Address - Fax:
Practice Address - Street 1:3823 GUESS RD
Practice Address - Street 2:SUITE P
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-1505
Practice Address - Country:US
Practice Address - Phone:919-479-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8268122300000X
VA0401410991122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist