Healthcare Provider Details

I. General information

NPI: 1881151652
Provider Name (Legal Business Name): AFFORDABLE DENTURES - AUDUBON, STEPHANIE HARDING, DDS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2019
Last Update Date: 02/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N BLACK HORSE PIKE
MOUNT EPHRAIM NJ
08059-1348
US

IV. Provider business mailing address

800 N BLACK HORSE PIKE
MOUNT EPHRAIM NJ
08059-1348
US

V. Phone/Fax

Practice location:
  • Phone: 856-742-1440
  • Fax:
Mailing address:
  • Phone: 856-742-1440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE HARDING
Title or Position: OWNER
Credential: DDS
Phone: 856-742-1440