Healthcare Provider Details

I. General information

NPI: 1982262556
Provider Name (Legal Business Name): ROBERT STUART POINT DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 09/07/2021
Certification Date: 09/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 S 17TH ST # 140
WILMINGTON NC
28401-6662
US

IV. Provider business mailing address

1911 S 17TH ST # 140
WILMINGTON NC
28401-6662
US

V. Phone/Fax

Practice location:
  • Phone: 910-762-7736
  • Fax:
Mailing address:
  • Phone: 910-762-7736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number11719
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: