Provider Demographics
NPI:1093018749
Name:HARDING, EMILY ALLISON (DMD)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:ALLISON
Last Name:HARDING
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 E JEFFERSON ST STE 102
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-4745
Mailing Address - Country:US
Mailing Address - Phone:502-370-6463
Mailing Address - Fax:
Practice Address - Street 1:914 E JEFFERSON ST STE 102
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-4745
Practice Address - Country:US
Practice Address - Phone:434-270-0304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-17
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401413096122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist