DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK BENJAMIN HARDY, D.M.D.

Active

DR. JACK BENJAMIN HARDY, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in CASPER, Wyoming. NPI 1093951352 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · CASPER, WY

Registration Details

NPI Number
1093951352
Provider Type
Individual
Gender
Male
NPI Issued
Dec 16, 2008 (17.623379988631 yrs)
Last Updated
Dec 7, 2015
Licenses
57754 (CA)
WY1265 (WY)

Practice Information

Address
4611 ARROYO DR
SUITE 1
CASPER, WY, 826045116
Browse WY providers · Browse ZIP 82604
Phone
3072351600
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in CASPER, WY

Name Credential NPI
DR. LUCAS A HARDY D.M.D. 1871682039
DR. ROBERT ALLAN HAGEMAN DDS 1558439265
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.