Constance Suzanne Stewart in Ketchikan - Dental Hygienist
Constance Suzanne Stewart - NPI 1114059722
Constance Suzanne Stewart is a Dental Hygienist in Ketchikan, Alaska. Constance Suzanne Stewart practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Constance Suzanne Stewart is 1114059722. The last update date is 2007-07-08.
Constance Suzanne Stewart's current location address is 2960 Tongass Ave, Ketchikan, Alaska. You can contact this provider via phone number 9072284902 and fax number 9072285256. The mailing address for Constance Suzanne Stewart is 2960 Tongass Ave, Ketchikan, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Constance Suzanne Stewart |
|---|---|
| Address | 2960 Tongass Ave, Ketchikan, Alaska |
| Phone Number | 9072284902 |
| Fax Number | 9072285256 |
| Sole Proprietor | N |
| Credentials | HYGIENIST |
NPI Number Detail
| NPI Number | 1114059722 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2960 Tongass Ave |
|---|---|
| City | Ketchikan |
| State | Alaska (AK) |
| Post Code | 999015742 |
| Phone Number | 9072284902 |
| Fax Number | 9072285256 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 493 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 493 | AK | DENTAL HYGIENE LICENSE | |
| 174 | AK | HYGIENIST LICENSED TO ADM |
Post Comment/ Review Below
What is the Constance Suzanne Stewart's 1114059722?
The Constance Suzanne Stewart's NPI (National Provider Identifier) Number is 1114059722. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Constance Suzanne Stewart is located?
The Constance Suzanne Stewart is situated at the following address: 2960 Tongass Ave, Ketchikan, AK, 999015742.
What is the Constance Suzanne Stewart's area of specialization and corresponding taxonomy classification?
The Constance Suzanne Stewart's specialty field is Dental Hygienist, and it falls under the taxonomy code 124Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Constance Suzanne Stewart receive the assignment of its 1114059722 from the Centers for Medicare & Medicaid Services?
The Constance Suzanne Stewart was issued its 1114059722 by the Centers for Medicare & Medicaid Services on 2007-03-09.
As of what date was the information pertaining to Constance Suzanne Stewart, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Constance Suzanne Stewart, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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