Philip A Hardin, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6497 Issued in KY

Practice address

216 Cumberland Xing
Monticello, KY 42633-9000

Phone

(606) 348-3384

NPI assigned

Feb 6, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smiles Family Dentistry

  • General Practice Dentistry
  • Monticello, KY
  • NPI 1154431187
  NPD (past) Authorized official
• Smiles Family Dentistry

  • Dentist
  • Monticello, KY
  • NPI 1669659181
  NPD (past)

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1124206644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CUMBERLAND XING",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426339000",
            "telephone_number": "606-348-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CUMBERLAND XING",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426339000",
            "telephone_number": "606-348-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "PHILIP",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60064979",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Louise Hahn Southwood, LPCA
• Darin L. Hale, MD
• William Mitchell Hall, MD
• Shirley J Hamblin
• Pamela R. Hancock, APRN
• Matt J Hesse, O.D.
• Hicks Enterprises of Monticello, LLC
• Derek Hicks
• Jason T Hicks, APRN, LCSW
• Susan Agee Hicks, LPCA

• General Practice Dentistry in Monticello, KY
• Providers in Monticello, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.