Provider Demographics
NPI:1093018749
Name:HARDING, EMILY ALLISON (DMD)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:ALLISON
Last Name:HARDING
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 HART CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-2439
Mailing Address - Country:US
Mailing Address - Phone:502-370-6463
Mailing Address - Fax:
Practice Address - Street 1:455 S. 4TH ST
Practice Address - Street 2:SUITE 859
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-2539
Practice Address - Country:US
Practice Address - Phone:502-587-7744
Practice Address - Fax:502-587-6602
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-17
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8889122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist