Provider Demographics
NPI:1457168841
Name:S. HARDING, DDS, P.A.
Entity type:Organization
Organization Name:S. HARDING, DDS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:BARIKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:325-224-4333
Mailing Address - Street 1:3111 SOUTHWEST BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-5742
Mailing Address - Country:US
Mailing Address - Phone:325-224-4333
Mailing Address - Fax:
Practice Address - Street 1:3111 SOUTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-5742
Practice Address - Country:US
Practice Address - Phone:325-224-4333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty