Provider Demographics
NPI:1417644790
Name:STEPHANIE K. HARDING, DDS, P.C.
Entity Type:Organization
Organization Name:STEPHANIE K. HARDING, DDS, P.C.
Other - Org Name:GAITHERSBURG PERIO & IMPLANT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:BEHNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:YALDA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:301-926-8282
Mailing Address - Street 1:803 RUSSELL AVE STE 3A
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-3584
Mailing Address - Country:US
Mailing Address - Phone:301-926-8282
Mailing Address - Fax:
Practice Address - Street 1:803 RUSSELL AVE STE 3A
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3584
Practice Address - Country:US
Practice Address - Phone:301-926-8282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty