Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730871625 Individual Practitioner Male Practitioner

Maxwell Hardack

Dentist - General Practice • Fort Myers, FL

Professional Overview & Biography Verified Profile Summary

Maxwell Hardack is a registered healthcare professional specializing in Dentist - General Practice in Fort Myers, FL. Practice services are available at 6871 DANIELS PKWY STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6871 Daniels Pkwy Ste 100

Fort Myers, FL 339121510

Telephone 5614149050

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Myers, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
119 Specialists

Practicing in Fort Myers, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN28968

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License AZ D011903

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1013448463

Doctor of Dental Medicine

NPI 1356072268
NPI 1447704671

Doctor of Dental Medicine

NPI 1457273674

Doctor of Dental Surgery

NPI 1881210276

Doctor of Dental Surgery

NPI 1922747377

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 10, 2024

Registered at 6871 DANIELS PKWY STE 100, FORT MYERS, FL 339121510 (Tel: 5614149050)

📍
Updated Business Mailing Address July 10, 2024

Registered at 22076 SEASHORE CIR, ESTERO, FL 339284302

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2024

Dentist (License #D011903 in AZ)

NPI Profile Active May 22, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2023

Registered at 1714 W HUNT HWY, QUEEN CREEK, AZ 851435244 (Tel: 5614149050)

📍
Updated Business Mailing Address May 22, 2023

Registered at 21481 S 231ST ST, QUEEN CREEK, AZ 851420840

👤
Provider Name / Credentials Updated May 22, 2023

Recorded as MAXWELL HARDACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 22, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730871625
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2023
Last Update: July 10, 2024
Sole Proprietor: No

Mailing Address

22076 Seashore Cir

Estero, FL 339284302

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.