Individual
DR. JONATHAN MARK HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
125 BARNETT ST, SOMERSET, KY 42501-1263
(606) 679-1204
Mailing address
125 BARNETT ST, SOMERSET, KY 42501-1263
(606) 679-1204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8614
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8614
KY STATE LICENSE #
KY
Enumeration date
08/01/2008
Last updated
03/17/2018
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