Provider Demographics
NPI:1598874117
Name:STEWARDSON, JAMES E (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:STEWARDSON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:METRO DENTALCARE
Mailing Address - Street 2:PO BOX 23029
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423
Mailing Address - Country:US
Mailing Address - Phone:612-861-9123
Mailing Address - Fax:612-861-9101
Practice Address - Street 1:METRO DENTALCARE
Practice Address - Street 2:14344 BURNHAVEN DR
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306
Practice Address - Country:US
Practice Address - Phone:952-435-8525
Practice Address - Fax:952-435-6229
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12262122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist