Provider Demographics
NPI:1427231448
Name:HARDY, STEPHEN FRANCIS (DMD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:FRANCIS
Last Name:HARDY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 W THUNDERBIRD RD STE 116
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-6369
Mailing Address - Country:US
Mailing Address - Phone:602-993-3744
Mailing Address - Fax:602-993-3745
Practice Address - Street 1:1930 W THUNDERBIRD RD STE 116
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-6369
Practice Address - Country:US
Practice Address - Phone:602-993-3744
Practice Address - Fax:602-993-3745
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ38031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice