Individual
DR. TIMOTHY C HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1015 S TAFT HILL RD, SUITE Q, FORT COLLINS, CO 80521-4240
(970) 980-2145
(970) 980-2142
Mailing address
1015 S TAFT HILL RD, SUITE Q, FORT COLLINS, CO 80521-4240
(970) 980-2145
(970) 980-2142
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN.00202076
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN.00202076
DENTAL LICENSE
CO
Enumeration date
08/12/2010
Last updated
02/16/2016
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