SearchIndiana1223G0001X

Douglas Hartley, D.D.S

NPI 1023379443 · on the registry since 2012 · sole proprietor

Practice

Address
411 N Peru St
Cicero, IN 46034
Phone
(317) 984-3531
Organisation at this address
Cicero Family Dental Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana