MEDICARE: LOLIYA J. STEWART, DDS, INC

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
1	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1396608113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOLIYA J. STEWART, DDS, INC

Provider Business Mailing Address
First Line	:	245 N HIGHLAND AVE NE STE 230
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30307-2268
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-E
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-6847
Country	:	US
Telephone Number	:	404-850-3424
Fax Number	:	404-850-3626

Authorized Official
Title or Position	:	CEO
Name	:	DR. LOLIYA JOY STEWART
Credential	:	DDS
Telephone Number	:	404-850-3424

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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