Active NPI
William S. Hardee Jr. D.M.D., Inc. Friendly Dental Center
- General Practice Dentistry
- Temecula, CA
National Provider Identifier
1760660294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32561
- Legal business name
- WILLIAM S. HARDEE JR. D.M.D., INC. FRIENDLY DENTAL CENTER
- Practice address
- 28314 Old Town Front St
Temecula, CA 92590-1814 - Phone
- (951) 676-8920
- Fax
- (951) 676-8976
- NPI assigned
- Feb 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William S. Hardee II, D.M.D.
- Title
- Owner/Dentist
- Phone
- (951) 676-8920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32561 | CA | Primary |
Addresses
Primary practice location
28314 Old Town Front St
Temecula, CA 92590-1814
Mailing address
28314 Old Town Front St
Temecula, CA 92590-1814
Phone (951) 676-8920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508957002 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- William S Hardee Jr DMD Inc Friendly Dental Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Murrieta, CA
- NPI 1033388145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206057600000",
"number": "1760660294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28314 OLD TOWN FRONT ST",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925901814",
"telephone_number": "951-676-8920",
"fax_number": "951-676-8976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28314 OLD TOWN FRONT ST",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925901814",
"telephone_number": "951-676-8920",
"fax_number": "951-676-8976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM S. HARDEE JR. D.M.D., INC. FRIENDLY DENTAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-06",
"last_updated": "2008-03-21",
"status": "A",
"authorized_official_last_name": "HARDEE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "951-676-8920",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "32561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508957002",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.