Michael Clifford Hartley, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN0015170 Issued in FL

Practice address

1305 Thomaswood Dr
Tallahassee, FL 32308-7915

Phone

(850) 386-2400

Fax

(850) 386-8181

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043430978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 ROYAL ISLE DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323124083",
            "telephone_number": "850-668-5587",
            "fax_number": "850-386-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 THOMASWOOD DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087915",
            "telephone_number": "850-386-2400",
            "fax_number": "850-386-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "MICHAEL",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0015170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Wayne Hart, NP-BC
• Virginia Gayle Hart, CRNA
• Gregory R Hartlage, M.D.
• Christine Hartley, MD
• Kathy Hartley, C.N.M.
• Isabelle Eve Hartmann
• Carolanna Lawson Hartsfield, PA-C
• Mary Elizabeth Hartsfield, APRN
• Paul Frederick Hartsfield, M.D.
• Ronald Clinton Hartsfield, M.D.

• Dentist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.