Individual
DR. RICHARD JOSEPH STUART III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8240 NAAB RD, INDIANAPOLIS, IN 46260-5927
(317) 876-1095
Mailing address
1121 W MICHIGAN ST RM 280B, INDIANAPOLIS, IN 46202-5211
(317) 274-5315
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12013210A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/04/2019
Last updated
06/23/2025
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