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Oral Surgery, Dental Specialists

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DR. LUCAS A HARDY D.M.D.

Oral and Maxillofacial Surgery

Casper, Wyoming

Provider NPI: 1871682039

Provider Information:
DR. LUCAS A HARDY D.M.D.
Gender: M
Not Sole Proprietor

Practice Location:
4611 ARROYO DR SUITE 1  CASPER, WY 82604 US
Tel: 307-235-1600  Fax: 307-235-1601

Business Mailing Address:
4611 ARROYO DR SUITE 1  CASPER, WY 82604 US
Tel: 307-235-1600  Fax: 307-235-1601

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
WY1146

Other Provider Identifiers:

IssuerNumberStateType
123102200WY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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