Dr. Jack Benjamin Hardy
Dentist - General Practice Oral and Maxillofacial Surgeon
4611 Arroyo Dr Suite 1
Casper
, Wyoming 82604-5116
Dr. Jack Benjamin Hardy
Dentist - General Practice Oral and Maxillofacial Surgeon
4611 Arroyo Dr Suite 1
Casper
, Wyoming 82604-5116
(307) 235-1600
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About
Features
Specialties
- General Practice
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jack Benjamin Hardy
- 4611 Arroyo Dr Suite 1
- Casper, WY
- Zip : 82604-5116
- Phone : (307) 235-1600
Second Address
- Dr. Jack Benjamin Hardy
- 4611 Arroyo Dr Suite 1
- Casper, WY
- Zip : 82604-5116
- Phone : (307) 235-1600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223G0001X | General Practice | 57754 | CA |
| N | 213EG0000X | General Practice | 57754 | CA |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | WY1265 | WY |
National Provider Identifier
| NPI | 1093951352 |
|---|---|
| Provider Name | Dr. Jack Benjamin Hardy |
| First Address | Casper, WY 82604-5116 |
| Second Address | Casper, WY 82604-5116 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/12/2008 |
| Last Update Date | 07/12/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.