Individual
DR. GREGORY WILSON STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-6056
Mailing address
2805 NE 129TH ST, EDMOND, OK 73013-7497
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7071
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7071
OKLAHOMA STATE BOARD OF DENTISTRY
OK
Enumeration date
05/26/2018
Last updated
05/26/2018
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