Organization · Type 2 NPI

Stephanie J Hardwick DDS Inc

Pediatric Dentistry · Corte Madera, CA

NPI number 1679164339 Active

Practice location

770 Tamalpais Dr Ste 317
Corte Madera, CA 94925-1737

Call (775) 303-2282 Map

Mailing address

267 Corte Madera Ave
Corte Madera, CA 94925-1306

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed

Pediatric Dentistry: 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.

NPI record

NPI: 1679164339
Entity type: Organization (Type 2)
Issued: Jan 26, 2021
Last updated: Jul 12, 2021
Status: Active

Other names

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Mt. Tam Pediatric Dentistry · doing business as
Mt. Tam Pediatric Dentistry · doing business as

Authorized official

Dr. Stephanie June Hardwick, DDS
Pediatric Dentist
(415) 329-6780

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679164339

Stephanie J Hardwick DDS Inc's National Provider Identifier is 1679164339, issued on Jan 26, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Corte Madera, CA. The record was last updated on Jul 12, 2021.