Organization
MCCOMB & STEWART DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY D STEWART D.M.D. (DENTIST)
(804) 643-6665
Entity
Organization
Contact information
Practice address
530 E MAIN ST, SUITE 720, RICHMOND, VA 23219-2431
(804) 643-6665
(804) 782-1146
Mailing address
530 E MAIN ST, SUITE 720, RICHMOND, VA 23219-2418
(804) 643-6665
(804) 782-1146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401005152
VA
1223G0001X
General Practice Dentistry
Primary
0401410621
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003204
ANTHEM
VA
01
—
574631
UNITED CONCORDIA
VA
Enumeration date
12/13/2006
Last updated
08/22/2020
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