WILLIE M HARDIE


Address: 925 Ne 136th Ave, Suite 101, Vancouver, WA 98684-0896
Phone: 3606945559

WILLIE M HARDIE (NPI# 1093891533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093891533
Entity Type Individual
Full Name WILLIE M HARDIE
Credential DDS
Practice Address 925 Ne 136th Ave
Suite 101
Vancouver
WA 98684-0896
Practice Telephone 3606945559
Practice Fax Number 3608910000
Mailing Telephone 3606945559
Mailing Fax Number 3608910000
Enumeration Date 2006-10-27
Last Update Date 2010-09-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
DE00008741 WA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 1002369 05
WA GROUP MEDICAID 2007980 01

Office Location

Street Address 925 NE 136TH AVE
SUITE 101
City VANCOUVER
State WA
Zip Code 98684-0896

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538480215 Hardie Dentistry for Kids Dentist 925 Ne 136th Ave, Suite 101, Vancouver, WA 98684-0896 2010-06-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285291849 Pacifica Sylvan Park LLC Alzheimer Center (Dementia Center) 2400 Ne 112th Avenue, Vancouver, WA 98684 2019-05-20
1699242826 Heidi Ericka Jackson Registered Nurse 15606 Ne 12th Way, Vancouver, WA 98684 2018-10-25
1477076727 Brian Benasa Bardeloza Dentist 605 Se 164th Ave Ste 103, Vancouver, WA 98684 2017-07-19
1992226062 Judith Moreno-castro Massage Therapist 2501 Ne 138th Ave., #60, Vancouver, WA 98684 2017-06-29
1346790706 Samuel Joonsang Lee Registered Nurse 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 2016-10-10
1912353178 Cheryl A. Hamilton-jefferson Counselor 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 2016-05-06
1063866424 Kim Forgione Optometrist 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 2016-04-21
1700254257 Desiree Haggart Registered Nurse 406 Se 131st St., Suite A101, Vancouver, WA 98684 2015-09-14
1215318068 Paige M. King Behavioral Analyst 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 2015-06-17
1417354366 Amanda Hilkey, Lmp Massage Therapist 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 2014-11-20
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043563661 Amna Shebani, D.d.s., P.C. Dentist 1405 S.e. 164th Avenue, Suite # 203, Vancouver, WA 98683 2012-10-19
1336436906 Justin Anthony Heaton Dentist 900 Ne 139th St Ste 106, Vancouver, WA 98685 2011-07-05
1285798728 Frank J Foreman Dds Ps Dentist 11700 Ne 95th St, Suite 120, Vancouver, WA 98682-2399 2006-12-20
1841353638 Richard L. Grabowsky Dentist 1933 Fort Vancouver Way, Vancouver, WA 98663-3529 2006-12-19
1396756029 Peter Lubisich Dentist 300 Se 120th Ave Ste 100, Vancouver, WA 98683-4067 2006-08-10
1255348181 David S Neil Dentist 2501 Ne 134th St, Vancouver, WA 98686-3026 2006-08-02
1801831508 Pamela Butler Dentist 3205 Se 192nd Ave, Suite#100, Vancouver, WA 98683 2006-06-17
1396134185 Renato De Luna, Dmd Dentist 11700 Ne 95th St, Suite 120, Vancouver, WA 98682-2399 2015-01-15
1033460183 Gagneja, Bds, Pllc Dentist 601 Se 117th Ave, Ste 150, Vancouver, WA 98683-5297 2012-09-28
1285998336 Kurt Duc Truong Dentist 14201 Ne 20th Ave, #c-3102, Vancouver, WA 98686-6410 2012-07-03
Find all providers in VANCOUVER

Competitor

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City VANCOUVER
Zip Code 98684

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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