Provider Demographics
NPI:1881151652
Name:AFFORDABLE DENTURES - AUDUBON, STEPHANIE HARDING, DDS, P.A.
Entity type:Organization
Organization Name:AFFORDABLE DENTURES - AUDUBON, STEPHANIE 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:856-742-1440
Mailing Address - Street 1:800 N BLACK HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:MOUNT EPHRAIM
Mailing Address - State:NJ
Mailing Address - Zip Code:08059-1348
Mailing Address - Country:US
Mailing Address - Phone:856-742-1440
Mailing Address - Fax:
Practice Address - Street 1:800 N BLACK HORSE PIKE
Practice Address - Street 2:
Practice Address - City:MOUNT EPHRAIM
Practice Address - State:NJ
Practice Address - Zip Code:08059-1348
Practice Address - Country:US
Practice Address - Phone:856-742-1440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty