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Martha Hardaway, DMD
Pediatric Dentist in Boone, North Carolina
NPI 1942365044

Martha Hardaway is a Pediatric Dentist based in Boone, NC and is specialized in Pediatric Dentistry. Martha Hardaway practices in Boone, NC and has the professional credentials of DMD. The NPI Number for Martha Hardaway is 1942365044 and holds a License No. DN013173 (North Carolina).

The current practice location address for Martha Hardaway is 373 Boone Heights Dr, Boone, NC and can be reached out via phone at 828-264-0110 and via fax at 828-264-5453.

Location: 373 Boone Heights Dr, Boone, NC, 28607-4934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942365044
Provider Name
Martha Hardaway
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
373 Boone Heights Dr, Boone, NC, 28607-4934
Phone Number
828-264-0110
Fax Number
828-264-5453
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7984 01 NC LICENSE
DN013173 01 LICENSE
institution
Provider Business Practice Location Address Details
Address
373 Boone Heights Dr
City
Boone
State
North Carolina
Zip
28607-4934
Phone Number
828-264-0110
Fax Number
828-264-5453
person
Provider Business Mailing Address Details
Address
373 Boone Heights Dr
City
Boone
State
North Carolina
Zip
28607-4934
Phone Number
828-264-0110
Fax Number
828-264-5453
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN013173 (Georgia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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