MARTHA HARDAWAY DMD MS PA NPI 1710563176

NPI Information

NPI: 1710563176
Provider Name: MARTHA HARDAWAY DMD MS PA
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
247 MOUNT JEFFERSON STATE PARK RD STE 7
WEST JEFFERSON, NC
ZIP 28694
Phone: (919) 604-1546
Get Directions

MARTHA HARDAWAY DMD MS PA is a pediatric dentistry dentist in West Jefferson, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MARTHA HARDAWAY DMD MS PA NPI is 1710563176. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

247 MOUNT JEFFERSON STATE PARK RD STE 7
WEST JEFFERSON, NC
ZIP 28694-042
Phone: (919) 604-1546

The provider's authorized official is Martha Hardaway .
The authorized official title is President and has the following contact phone number (919) 604-1546.

The enumeration date for this NPI number is 3/24/2021 and was last updated on 3/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics			No
2	1223P0221X	Dentist	Pediatric Dentistry			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5909845	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »