| R. Ben Hardy, Dmd, Llc | |
|
2825 Washington Rd Suite M2 Augusta GA 30909-2119 | |
| (706) 736-1135 | |
| (706) 736-1186 |
| Full Name | R. Ben Hardy, Dmd, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2825 Washington Rd, Augusta, Georgia |
| Authorized Official Name and Position | Robert Benjamin Hardy (OWNER) |
| Authorized Official Contact | 7067361135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R. Ben Hardy, Dmd, Llc 2825 Washington Rd Suite M2 Augusta GA 30909-2119 Ph: (706) 736-1135 | R. Ben Hardy, Dmd, Llc 2825 Washington Rd Suite M2 Augusta GA 30909-2119 Ph: (706) 736-1135 |
| NPI Number | 1578698502 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578698502 | NPI | - | NPPES |
| ZAG974 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012913 (Georgia) | Primary |
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