Provider Demographics
NPI:1740956978
Name:PARDUE D.D.S. PLLC
Entity type:Organization
Organization Name:PARDUE D.D.S. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:PARDUE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-461-2515
Mailing Address - Street 1:245 11TH AVE NE
Mailing Address - Street 2:HICKORY HEIGHTS DENTAL
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601
Mailing Address - Country:US
Mailing Address - Phone:828-322-4627
Mailing Address - Fax:
Practice Address - Street 1:245 11TH AVE NE
Practice Address - Street 2:HICKORY HEIGHTS DENTAL
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601
Practice Address - Country:US
Practice Address - Phone:828-322-4627
Practice Address - Fax:828-322-2127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental