Provider Demographics
NPI:1831951185
Name:JAMESON HARDY ORTHODONTICS ASSOCIATES PC
Entity type:Organization
Organization Name:JAMESON HARDY ORTHODONTICS ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-885-4850
Mailing Address - Street 1:152 US ROUTE 1 STE 2
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-8366
Mailing Address - Country:US
Mailing Address - Phone:207-885-4850
Mailing Address - Fax:207-730-7145
Practice Address - Street 1:92 PINE ST
Practice Address - Street 2:
Practice Address - City:NORTH CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03860-5210
Practice Address - Country:US
Practice Address - Phone:603-356-8940
Practice Address - Fax:207-730-7145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty