Provider Demographics
NPI:1699867283
Name:HARDIN, ANNELISE CECILE (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ANNELISE
Middle Name:CECILE
Last Name:HARDIN
Suffix:
Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:1504 E FRANKLIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2820
Mailing Address - Country:US
Mailing Address - Phone:919-967-2773
Mailing Address - Fax:919-967-2774
Practice Address - Street 1:1504 E FRANKLIN ST STE 101
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2820
Practice Address - Country:US
Practice Address - Phone:919-967-2773
Practice Address - Fax:919-967-2774
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC77731223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry