Individual
DR. JOHN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
440 E HOSPITAL LN, TERRE HAUTE, IN 47802-4251
(812) 234-5437
Mailing address
440 E HOSPITAL LN, TERRE HAUTE, IN 47802-4251
(812) 234-5437
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010382A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200449700
—
IN
Enumeration date
05/05/2006
Last updated
06/05/2024
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