Individual provider · Type 1 NPI

Maxwell Hardack

General Practice Dentistry · Fort Myers, FL

NPI number 1730871625 Active

Practice location

6871 Daniels Pkwy Ste 100
Fort Myers, FL 33912-1510

Mailing address

22076 Seashore Cir
Estero, FL 33928-4302

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XD011903 (AZ)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001XDN28968 (FL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1730871625

Maxwell Hardack's National Provider Identifier is 1730871625, issued on May 22, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Myers, FL. The record was last updated on Jul 10, 2024.