Provider Demographics
NPI:1336309624
Name:STEWART, KATHRYN L (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:L
Last Name:STEWART
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:KATHRYN
Other - Middle Name:M
Other - Last Name:LUBITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1319 NAGEL RD.
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255
Mailing Address - Country:US
Mailing Address - Phone:513-474-6777
Mailing Address - Fax:513-474-2326
Practice Address - Street 1:1319 NAGEL RD.
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255
Practice Address - Country:US
Practice Address - Phone:513-474-6777
Practice Address - Fax:513-474-2326
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300226591223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry