Provider Demographics
NPI:1417063504
Name:HARDY ORTHODONTICS - R. BRIAN HARDY DMD MS
Entity Type:Organization
Organization Name:HARDY ORTHODONTICS - R. BRIAN HARDY DMD MS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD MS
Authorized Official - Phone:614-871-8200
Mailing Address - Street 1:4199 GANTZ RD
Mailing Address - Street 2:PO BOX 835
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-0835
Mailing Address - Country:US
Mailing Address - Phone:614-871-8200
Mailing Address - Fax:614-871-8300
Practice Address - Street 1:4199 GANTZ RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-0835
Practice Address - Country:US
Practice Address - Phone:614-871-8200
Practice Address - Fax:614-871-8300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH0215501223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty