Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS MICHAEL HARTLEY, D.D.S.
Active Sole ProprietorGeneral Dentistry · CICERO, IN
Registration Details
- NPI Number
- 1023379443
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2012 (13.909197861161 yrs)
- Last Updated
- Dec 21, 2020
- License
-
12012274A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
411 N PERU STCICERO, IN, 460349498Browse IN providers · Browse ZIP 46034
- Phone
- 3179843531
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in CICERO, IN
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS JERRY ELLIOTT SR. | D.D.S. | 1689710170 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.