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NPI Code Detail

MEDICARE: DR. LOLIYA JOY STEWART DDS

MEDICARE: DR. LOLIYA JOY STEWART DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry101244CA
21223P0221XPediatric DentistryDN015952GA

General Provider Information

NPI Number : 1194245704
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOLIYA JOY STEWART DDS
Provider Business Mailing Address
First Line : 475 BILL KENNEDY WAY SE STE D
Second Line :
City : ATLANTA
State : GA
Zip : 30316-6848
Country : US
Telephone Number : 404-850-3424
Fax Number : 404-850-3626
Provider Business Practice Location Address
First Line : 475 BILL KENNEDY WAY SE STE D
Second Line :
City : ATLANTA
State : GA
Zip : 30316-6848
Country : US
Telephone Number : 404-850-3424
Fax Number : 404-850-3626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2017
Last Update Date : 05/07/2026

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