Provider Demographics
NPI:1245086669
Name:STEPHANIE KAYE HARDING, DDS, P.A.
Entity type:Organization
Organization Name:STEPHANIE KAYE HARDING, DDS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-510-9760
Mailing Address - Street 1:1218 BRIDFORD PKWY UNIT S
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-2699
Mailing Address - Country:US
Mailing Address - Phone:336-510-9760
Mailing Address - Fax:
Practice Address - Street 1:1218 BRIDFORD PKWY UNIT S
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-2699
Practice Address - Country:US
Practice Address - Phone:336-510-9760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty