Provider Demographics
NPI:1811308232
Name:CHARLES E HARDING DMD PC
Entity type:Organization
Organization Name:CHARLES E HARDING DMD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:E
Authorized Official - Last Name:HARDING
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-799-0600
Mailing Address - Street 1:PO BOX 266
Mailing Address - Street 2:
Mailing Address - City:SCHNECKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18078-0266
Mailing Address - Country:US
Mailing Address - Phone:610-799-0600
Mailing Address - Fax:610-799-0602
Practice Address - Street 1:4955 ROUTE 873
Practice Address - Street 2:
Practice Address - City:SCHNECKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18078-2268
Practice Address - Country:US
Practice Address - Phone:610-799-0600
Practice Address - Fax:610-799-0602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-20
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS023517L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty