Individual
DR. TOM E. HARTSOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD,MS
Contact information
Practice address
161 COLLEGE ST, SUITE #3, PIKEVILLE, KY 41501-4786
(606) 432-3603
Mailing address
161 COLLEGE ST, SUITE #3, PIKEVILLE, KY 41501-4786
(606) 432-3603
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6516
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
KY
05
—
60065166
—
KY
Enumeration date
02/13/2007
Last updated
05/21/2020
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