R. Clarke Stewart in Jackson - Periodontics

R. Clarke Stewart - NPI 1417166703

R. Clarke Stewart is a Periodontics in Jackson, Mississippi. R. Clarke Stewart practices all healthcare services and medical treatments related to Periodontics. The NPI Number for R. Clarke Stewart is 1417166703. The last update date is 2007-07-08.

R. Clarke Stewart's current location address is 406 Briarwood Dr Ste 101, Jackson, Mississippi. You can contact this provider via phone number 6019561230 and fax number 6019560201. The mailing address for R. Clarke Stewart is 406 Briarwood Dr Ste 101, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name R. Clarke Stewart
Address 406 Briarwood Dr Ste 101, Jackson, Mississippi
Phone Number 6019561230
Fax Number 6019560201
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1417166703
Provider Enumeration Date 2007-05-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 406 Briarwood Dr Ste 101
City Jackson
State Mississippi (MS)
Post Code 392063059
Phone Number 6019561230
Fax Number 6019560201

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 2364-87
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about R. Clarke Stewart

What is the unique identification code assigned to R. Clarke Stewart by the Centers for Medicare & Medicaid Services?

The R. Clarke Stewart has been issued the NPI (National Provider Identifier) 1417166703. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of R. Clarke Stewart?

The R. Clarke Stewart is situated at 406 Briarwood Dr Ste 101, in the city of Jackson, state of MS, with the zip code 392063059.

What is R. Clarke Stewart's area of expertise and its corresponding taxonomy classification?

The R. Clarke Stewart's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1417166703 assigned to R. Clarke Stewart?

The R. Clarke Stewart was issued its 1417166703 on 2007-05-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to R. Clarke Stewart most recently updated or revised?

The information pertaining to R. Clarke Stewart, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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