Hartsfield, Darrell Todd

Hartsfield, Darrell Todd is an individual health care provider with primary practice located at 15350 W Skyview Way , Surprise AZ 85374-4774. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hartsfield, Darrell Todd can be contacted via phone (602) 307-1576.

Contact Information

Primary practice address
15350 W Skyview Way Surprise AZ 85374-4774
Phone: (602) 307-1576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6018 Arizona

Profile Details

NPI number 1164423497
LBN Legal business name Hartsfield, Darrell Todd
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164423497 NPPES
Arizona MEDICAID 857469

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