Individual
DR. CHAD MICHAEL HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7040 OLD CANTON RD, RIDGELAND, MS 39157-1035
(186) 460-1790
Mailing address
46 BOGARD ST APT A, CHARLESTON, SC 29403-5367
(251) 232-4100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4489-24
MS
Other
Enumeration date
11/07/2023
Last updated
06/14/2025
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