Tom Douglas Hardy, DDS
Dentist, General Practice in Indian River, MI. Individual provider (NPI-1).
NPI number1982809018
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1982809018
- Entity type
- Individual (NPI-1)
- Name
- Tom Douglas Hardy
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 011060 | MI | Yes |
Practice location
6004 Waterway LaneIndian River, MI 49749-0780
Phone 231-238-9375
Mailing address
Po Box 7806004 Waterway Lane
Indian River, MI 49749-0780
Phone 231-238-9375
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