Provider Demographics
NPI:1013299221
Name:HARDING, WILLIAM CHRISTOPHER IV (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHRISTOPHER
Last Name:HARDING
Suffix:IV
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 DEBO DR
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-4920
Mailing Address - Country:US
Mailing Address - Phone:843-236-8848
Mailing Address - Fax:843-236-8857
Practice Address - Street 1:100 DEBO DR
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-4920
Practice Address - Country:US
Practice Address - Phone:843-236-8848
Practice Address - Fax:843-236-8857
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1855855122300000X
SC8523122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist