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Organization
TODD L STEWART DDS AND ASSOCIATES PA
Active
Organization
TODD L STEWART DDS AND ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD L STEWART (OWNER)
(704) 235-6075
Entity
Organization
Contact information
Practice address
9739 NORTHLAKE CENTRE PKWY, CHARLOTTE, NC 28216-6400
(704) 235-6075
(704) 235-6076
Mailing address
9739 NORTHLAKE CENTRE PKWY, CHARLOTTE, NC 28216-6400
(704) 235-6075
(704) 235-6076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7528
NC
1223G0001X
General Practice Dentistry
Primary
8124
NC
1223G0001X
General Practice Dentistry
8336
NC
1223G0001X
General Practice Dentistry
8681
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904095
—
NC
05
—
5906000
—
NC
05
—
5909475
—
NC
05
—
5910080
—
NC
Enumeration date
11/03/2009
Last updated
11/03/2009
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