Hardison, Justin
Hardison, Justin is an sole proprietor health care provider with primary practice located at 7915 Lake Manassas Dr Ste 207 , Gainesville VA 20155-3260. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Hardison, Justin can be contacted via phone (571) 261-4867.Contact Information
Primary practice address
7915 Lake Manassas Dr Ste 207
Gainesville VA 20155-3260
Phone: (571) 261-4867
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 0442000102 | Virginia |
| Dental Providers / Periodontics | 1223P0300X | 0401413670 | Virginia |
Profile Details
| NPI number | 1114232527 |
|---|---|
| LBN Legal business name | Hardison, Justin |
| Credentials | D.M.D, M.S.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2010 |
| Last updated | Feb 28th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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