Provider Demographics
NPI:1659481653
Name:STEWART, RENEE LYNN (DMD)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:LYNN
Last Name:STEWART
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:LYNN
Other - Last Name:PETERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:500 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-2817
Mailing Address - Country:US
Mailing Address - Phone:412-344-7223
Mailing Address - Fax:412-787-7404
Practice Address - Street 1:500 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-2817
Practice Address - Country:US
Practice Address - Phone:412-344-7223
Practice Address - Fax:412-563-2105
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0363741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice