Provider Demographics
NPI:1134276165
Name:HARDS, MICHAEL HENRY (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:HENRY
Last Name:HARDS
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 1:3525 ADMIRALTY CT
Mailing Address - Street 2:
Mailing Address - City:BELLE ISLE
Mailing Address - State:FL
Mailing Address - Zip Code:32812-3521
Mailing Address - Country:US
Mailing Address - Phone:407-496-1639
Mailing Address - Fax:
Practice Address - Street 1:3525 ADMIRALTY CT
Practice Address - Street 2:
Practice Address - City:BELLE ISLE
Practice Address - State:FL
Practice Address - Zip Code:32812-3521
Practice Address - Country:US
Practice Address - Phone:407-496-1639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-01-69011223G0001X
FLDN93721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice