NPI 1093951352

Jack Benjamin Hardy, DMD

Practitioner Oral and Maxillofacial Surgery (Dentist) Casper, WY

Practice location

Address: 4611 Arroyo Dr Suite 1, Casper, WY 82604-5116
Phone: (307) 235-1600

Registered specialties (2)

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence WY1265 (WY)

Other Dentist providers in Wyoming →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 57754 (CA)

Registry record

NPI: 1093951352
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2008
Record last updated: 7 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.