Individual
PATRICK STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1018 TUSCULUM BLVD, GREENEVILLE, TN 37745-4037
(423) 639-2176
Mailing address
1018 TUSCULUM BLVD, GREENEVILLE, TN 37745-4037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11404
TN
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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