Healthcare Provider Details

I. General information

NPI: 1073825360
Provider Name (Legal Business Name): BRIAN STANLEY HARWARD D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2010
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12150 HIGHWAY 17 BYP
MURRELLS INLET SC
29576-9429
US

IV. Provider business mailing address

12150 HIGHWAY 17 BYP
MURRELLS INLET SC
29576-9429
US

V. Phone/Fax

Practice location:
  • Phone: 854-223-0017
  • Fax:
Mailing address:
  • Phone: 854-223-0017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number11496
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: