# MCCOMB & STEWART DENTISTRY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902967649
- **Authorized official:** DR. TIMOTHY D STEWART D.M.D. (DENTIST)
- **Authorized official phone:** (804) 643-6665

## Contact information

- **Practice address:** 530 E MAIN ST, SUITE 720, RICHMOND, VA 23219-2431
- **Practice address phone:** (804) 643-6665
- **Practice address fax:** (804) 782-1146
- **Mailing address:** 530 E MAIN ST, SUITE 720, RICHMOND, VA 23219-2418
- **Mailing address phone:** (804) 643-6665
- **Mailing address fax:** (804) 782-1146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401005152 | VA | — |
| 1223G0001X | General Practice Dentistry | 0401410621 | VA | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 003204 | ANTHEM | VA |
| 01 | — | 574631 | UNITED CONCORDIA | VA |
