Organization Name: | DAVID M. S. STEWART DDS PC |
NPI Number: | 1215213905 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID M.S. STEWART (OWNER) |
Mailing Address: | 1268 W South Jordan Pkwy Suite 101 South Jordan |
State: | UT US |
Postal Code: | 840954652 |
Phone Number: | 8014468007 |
Fax Number: | 8016761030 |
NPI Enumeration Date: | 10/26/2011 |
NPI Last Update Date: | 10/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |