Hardy, Ike B

Hardy, Ike B is an individual health care provider with primary practice located at 3303 S Lindsay Road Ste 121, Gilbert AZ 85296. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Hardy, Ike B can be contacted via phone (480) 699-2940.

Contact Information

Primary practice address
3303 S Lindsay Road Ste 121 Gilbert AZ 85296
Phone: (480) 699-2940
Fax: (480) 699-2941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X D5593 Arizona

Profile Details

NPI number 1730294646
LBN Legal business name Hardy, Ike B
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1730294646 NPPES
Arizona MEDICAID 960452

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