Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 0401410991 | VA |
Y | 122300000X | Dentist | 8268 | NC |
NPI | 1003807108 |
---|---|
Provider Name | Dr. Scott Richardson Hardin |
First Address | Chapel Hill, NC 27517-3023 |
Second Address | Durham, NC 27705-1505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 08/07/2007 |