Provider Demographics
NPI:1093862906
Name:DR JAMES A HART DDS MS PA
Entity Type:Organization
Organization Name:DR JAMES A HART DDS MS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR - OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS PA
Authorized Official - Phone:817-645-2432
Mailing Address - Street 1:420 N RIDGEWAY DR
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-5114
Mailing Address - Country:US
Mailing Address - Phone:817-645-2432
Mailing Address - Fax:817-641-7711
Practice Address - Street 1:420 N RIDGEWAY DR
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-5114
Practice Address - Country:US
Practice Address - Phone:817-645-2432
Practice Address - Fax:817-641-7711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty