Provider Demographics
NPI:1235345828
Name:HARD, LARRY DEAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:DEAN
Last Name:HARD
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 1:219 DEVON RD
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-2822
Mailing Address - Country:US
Mailing Address - Phone:740-363-2811
Mailing Address - Fax:
Practice Address - Street 1:4511 CEMETERY RD
Practice Address - Street 2:SUITE A
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-3111
Practice Address - Country:US
Practice Address - Phone:614-534-0236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.014298122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist