Organization
MARK R. STEWART, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER M. STEWART (OFFICE MANAGER)
(870) 642-5386
Entity
Organization
Contact information
Practice address
1316 W COLLIN RAYE DR, SUITE A, DE QUEEN, AR 71832-2135
(870) 584-3221
(870) 642-6846
Mailing address
1316 W COLLIN RAYE DR, SUITE A, DE QUEEN, AR 71832-2135
(870) 584-3221
(870) 642-6846
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3093
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3093
LICENSE NUMBER
AR
Enumeration date
03/22/2007
Last updated
08/22/2020
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