Cheryl K Hardison, DDS
Individual provider Active NPI Dentist · Colfax, NC
NPI 1487779518 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487779518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 6230 (NC)
- Practice address
- I 40 and Sandy Ridge Rd
Colfax, NC 27235 - Phone
- (336) 996-5088
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6230 | NC | Yes |
Addresses
Primary practice location
I 40 and Sandy Ridge Rd
Colfax, NC 27235
Mailing address
I 40 and Sandy Ridge Rd
Colfax, NC 27235
Phone (336) 996-5088
Other providers in Colfax, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.