Healthcare Provider Details

I. General information

NPI: 1750162459
Provider Name (Legal Business Name): AFFORDABLE DENTURES - EWING, STEPHANIE HARDING, DDS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 SCOTCH RD
EWING NJ
08628-2512
US

IV. Provider business mailing address

21 SCOTCH RD
EWING NJ
08628-2512
US

V. Phone/Fax

Practice location:
  • Phone: 609-671-0273
  • Fax:
Mailing address:
  • Phone: 609-671-0273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE HARDING
Title or Position: OWNER
Credential: DDS
Phone: 609-671-0273