Hardy, Robert B

Hardy, Robert B is an individual health care provider with primary practice located at 1722 Wylds Rd , Augusta GA 30909-4353. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hardy, Robert B can be contacted via phone (706) 736-1135.

Contact Information

Primary practice address
1722 Wylds Rd Augusta GA 30909-4353
Phone: (706) 736-1135
Fax: (706) 736-1186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN012913 Georgia

Profile Details

NPI number 1639144868
LBN Legal business name Hardy, Robert B
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Aug 12th, 2020 - about 4 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 1639144868 NPPES
Georgia MEDICAID 9180179
Georgia MEDICAID 003141021A
Georgia MEDICAID 793669595A

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