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Dr. Jack Benjamin Hardy, DMD
Oral and Maxillofacial Surgery (Dentist) in Casper, Wyoming
NPI 1093951352

Jack Benjamin Hardy is a Oral and Maxillofacial Surgery (Dentist) based in Casper, WY and is specialized in Oral and Maxillofacial Surgery. Jack Benjamin Hardy practices in Casper, WY and has the professional credentials of DMD. The NPI Number for Jack Benjamin Hardy is 1093951352 and holds a License No. 57754 (Wyoming).

The current practice location address for Jack Benjamin Hardy is 4611 Arroyo Dr, Casper, WY and can be reached out via phone at 307-235-1600.

Location: 4611 Arroyo Dr, Casper, WY, 82604-5116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093951352
Provider Name
Jack Benjamin Hardy
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4611 Arroyo Dr, Casper, WY, 82604-5116
Phone Number
307-235-1600
Fax Number
Provider Enumeration Date
12/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4611 Arroyo Dr
City
Casper
State
Wyoming
Zip
82604-5116
Phone Number
307-235-1600
Fax Number
person
Provider Business Mailing Address Details
Address
4611 Arroyo Dr
City
Casper
State
Wyoming
Zip
82604-5116
Phone Number
307-235-1600
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
WY1265 (Wyoming)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
57754 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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