NPI 1275619280

Kevin Eugene Hardesty, DDS

Practitioner Dentist Brookings, OR

Practice location

Address: 307 Fern Ave., Brookings, OR 97415
Phone: (541) 412-3810
Fax: (541) 412-1531
Mailing address: PO Box 426, Brookings, OR 97415-0041

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D7187 (OR)

Other Dentist providers in Oregon →

Registry record

NPI: 1275619280
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2006
Record last updated: 8 Jul 2007

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.