Provider Demographics
NPI:1164505947
Name:HARDY, JAMES H (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:HARDY
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 1:14650 N DEL WEBB BLVD
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-2147
Mailing Address - Country:US
Mailing Address - Phone:623-876-8011
Mailing Address - Fax:623-487-4294
Practice Address - Street 1:14650 N DEL WEBB BLVD
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-2147
Practice Address - Country:US
Practice Address - Phone:623-876-8011
Practice Address - Fax:623-487-4294
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice