W. Stan Hardesty, Dds, Pa

NPI 1568674653 - Dentist - 1223G0001X

NPI Details
NPI 1568674653
Enumeration Date 05/03/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIS STANTON WILLIS
Position PRESIDENT
Phone (919) 781-0018
Fax (919) 571-9114
Practice Location
2321 BLUE RIDGE RD
SUITE 103
RALEIGH NC, 27607-6453, US
Phone (919) 781-0018
Fax (919) 571-9114
Business Location
2321 BLUE RIDGE RD
SUITE 103
RALEIGH NC, 27607-6453, US
Phone (919) 781-0018
Fax (919) 571-9114
Toxanomy
Taxonomy Code 1223G0001X
License State North Carolina
License Number 6229
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According to our database, W. Stan Hardesty, Dds, Pa NPI is 1568674653, taxonomy code is 1223G0001X and license number is 6229, license state is located at North Carolina. W. Stan Hardesty, Dds, Pa physically located at 2321 Blue Ridge Rd, Raleigh NC, 27607-6453. NPI Number 1033115704 has the healthcare provider type.

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1568674653 NPI number is provided on an as is basis without warranty of any kind. 1568674653 is maintained by the National Plan & Provider Enumeration System. The contents of W. Stan Hardesty, Dds, Pa are for informational purposes only.