Provider Demographics
NPI:1568741486
Name:HARDWICK, JOSHUA ERNEST (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ERNEST
Last Name:HARDWICK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 9TH AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:AYNOR
Mailing Address - State:SC
Mailing Address - Zip Code:29511-3521
Mailing Address - Country:US
Mailing Address - Phone:843-358-1200
Mailing Address - Fax:
Practice Address - Street 1:251 9TH AVENUE EXT
Practice Address - Street 2:
Practice Address - City:AYNOR
Practice Address - State:SC
Practice Address - Zip Code:29511-3521
Practice Address - Country:US
Practice Address - Phone:843-358-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC70141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice