Individual
DR. JAMES D HARDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0297
(859) 323-5831
Mailing address
800 ROSE ST, D104, LEXINGTON, KY 40536-0297
(859) 323-5831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5134
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60051349
—
KY
Enumeration date
09/26/2006
Last updated
07/09/2007
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