Organization
JENNIFER STEWART DDS LLC
Active
Other names
Glen Burnie Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER JEAN STEWART DDS (DENTIST/OWNER)
(410) 760-6699
Entity
Organization
Contact information
Practice address
7600 RITCHIE HWY, GLEN BURNIE, MD 21061
(410) 760-6699
Mailing address
1010 STORMONT CIR, HALETHORPE, MD 21227-3817
(443) 794-2197
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
14041
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558565408
—
MD
Enumeration date
08/08/2017
Last updated
05/09/2019
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