Provider Demographics
NPI:1386516730
Name:S. HARDAN PERIODONTICS & DENTAL IMPLANTS
Entity type:Organization
Organization Name:S. HARDAN PERIODONTICS & DENTAL IMPLANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DMD
Authorized Official - Phone:610-731-8858
Mailing Address - Street 1:1450 E BOOT RD STE 200D
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5933
Mailing Address - Country:US
Mailing Address - Phone:610-857-7776
Mailing Address - Fax:610-857-7781
Practice Address - Street 1:1450 E BOOT RD STE 200D
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5933
Practice Address - Country:US
Practice Address - Phone:610-857-7776
Practice Address - Fax:610-857-7781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty