Provider Demographics
NPI:1225463755
Name:HARDY, JAMIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:
Last Name:HARDY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4808 WATERVIEW TOWN CENTER DR STE 500
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3548
Mailing Address - Country:US
Mailing Address - Phone:832-500-0664
Mailing Address - Fax:832-558-2100
Practice Address - Street 1:4808 WATERVIEW TOWN CENTER DR STE 500
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3548
Practice Address - Country:US
Practice Address - Phone:832-500-0664
Practice Address - Fax:832-558-2100
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-03
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX321401223P0221X
NC9594122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist