Provider Demographics
NPI:1871619049
Name:FIELDS, HARDY HULVER (PA)
Entity type:Individual
Prefix:DR
First Name:HARDY
Middle Name:HULVER
Last Name:FIELDS
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 N GALLOWAY AVE STE 115
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4800
Mailing Address - Country:US
Mailing Address - Phone:972-270-0186
Mailing Address - Fax:972-681-1089
Practice Address - Street 1:2929 N GALLOWAY AVE STE 115
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4800
Practice Address - Country:US
Practice Address - Phone:972-270-0186
Practice Address - Fax:972-681-1089
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD146291223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics