Provider Demographics
NPI:1740380849
Name:STEWARD, NORMAN S JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:S
Last Name:STEWARD
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG1 00010691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice