Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUSTIN HARDISON, D.M.D, M.S.D
Active Sole ProprietorDR. JUSTIN HARDISON, D.M.D, M.S.D is a Periodontology healthcare provider located in GAINESVILLE, Virginia. NPI 1114232527 is currently active in the NPPES registry. Verify at CMS.
Periodontology · GAINESVILLE, VA
Registration Details
- NPI Number
- 1114232527
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2010 (16.051070570414 yrs)
- Last Updated
- Feb 28, 2023
- Licenses
-
0442000102 (VA)0401413670 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7915 LAKE MANASSAS DR STE 207GAINESVILLE, VA, 201553260Browse VA providers · Browse ZIP 20155
- Phone
- 5712614867
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
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.