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General NPI Number Information
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NPI Number | 1396608113
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Entity Type | Organization
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Legal Business Name | LOLIYA J. STEWART, DDS, INC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 475 BILL KENNEDY WAY SE STE D-E
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City | ATLANTA
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State | GA
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Zip | 30316-6847
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Country | US
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Telephone | 404-850-3424
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Fax | 404-850-3626
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Provider Business Mailing Address
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Address Line | 245 N HIGHLAND AVE NE STE 230
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City | ATLANTA
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State | GA
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Zip | 30307-2268
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Country | US
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Telephone | 404-850-3424
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Fax | 404-850-3626
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Authorized Official
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Title or Position | CEO
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Name | DR. LOLIYA JOY STEWART
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Credential | DDS
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Telephone | 404-850-3424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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