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Individual

MICHAEL JOEL STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
USA DENTAL HEALTH ACTIVITY, BLDG 38801, ACADEMIC DRIVE, FORT GORDON, GA 30905
(706) 787-5738
Mailing address
FT. GORDON DENTAL HEALTH ACTIVITY, BLDG 38801, ACADEMIC DRIVE, FORT GORDON, GA 30905
(706) 787-5738

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5349
AL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5349
AL

Other

Enumeration date
05/17/2006
Last updated
03/28/2023
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