| Jon L Hardinger | |
|
1339 6th St Sw Mason City IA 50401-4815 | |
| (641) 423-6172 | |
| (641) 423-6248 |
| Full Name | Jon L Hardinger |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1339 6th St Sw, Mason City, Iowa |
| Authorized Official Name and Position | Jon Lincoln Hardinger (OWNER) |
| Authorized Official Contact | 6414236172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon L Hardinger 1339 6th St Sw Mason City IA 50401-4815 Ph: (641) 423-6172 | Jon L Hardinger 1339 6th St Sw Mason City IA 50401-4815 Ph: (641) 423-6172 |
| NPI Number | 1366609364 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366609364 | NPI | - | NPPES |
| 0164301 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6432 (Iowa) | Primary |
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