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MARTHA HARDAWAY DMD MS PA
NPI 1710563176
Dentist - Pediatric Dentistry in West Jefferson, NC

Active since March 24, 2021
247 MOUNT JEFFERSON STATE PARK RD STE 7, WEST JEFFERSON, NC 28694(919) 604-1546 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Martha Hardaway Dmd Ms Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTHA HARDAWAY DMD MS PA (NPI 1710563176), doing business as Bluebird Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in West Jefferson, North Carolina and active in the NPI registry since March 2021. The organization lists Martha Hardaway, President, as its authorized official.

NPPES Registry Identity

NPI1710563176
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMARTHA HARDAWAY DMD MS PA
Location Address247 MOUNT JEFFERSON STATE PARK RD STE 7West Jefferson, NC 28694-8042
Mailing Address176 Wind Walker CtBoone, NC 28607-5349 · (919) 604-1546
Phone(919) 604-1546
Organization SubpartNo
Authorized OfficialMartha HardawayPresident · (919) 604-1546
Enumeration DateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1710563176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
247 MOUNT JEFFERSON STATE PARK RD STE 7, West Jefferson, NC 28694
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Other Names 1

Doing Business AsBluebird Pediatric Dentistry

Other Identifiers 1

Medicaid5909845NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PARISA TASHAKKORI DMD
Dentist
247 MOUNT JEFFERSON STATE PARK RD STE 7
WEST JEFFERSON, NC 28694
Ashe County (336) 649-4001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martha Hardaway Dmd Ms PA's NPI number?

The NPI number for Martha Hardaway Dmd Ms PA is 1710563176. It was assigned to this organization in the NPPES registry on March 24, 2021. The provider is doing business as Bluebird Pediatric Dentistry.

Where is Martha Hardaway Dmd Ms PA located?

Martha Hardaway Dmd Ms PA is located at 247 Mount Jefferson State Park Rd Ste 7, West Jefferson, NC 28694. The listed phone number is (919) 604-1546.

What is Martha Hardaway Dmd Ms PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Martha Hardaway Dmd Ms PA was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.