Provider Demographics
NPI:1457661795
Name:N S STEWARD JR DDS PA
Entity Type:Organization
Organization Name:N S STEWARD JR DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:STEWARD
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:302-422-9791
Mailing Address - Street 1:214 S WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1958
Mailing Address - Country:US
Mailing Address - Phone:302-422-9791
Mailing Address - Fax:302-422-7307
Practice Address - Street 1:214 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1958
Practice Address - Country:US
Practice Address - Phone:302-422-9791
Practice Address - Fax:302-422-7307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG1-000010691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty