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NPI Code Detail

MEDICARE: DR. ROXANNA MERINDA STEWART DMD

MEDICARE: DR. ROXANNA MERINDA STEWART DMD
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
11223G0001XGeneral Practice Dentistry3666AL

General Provider Information

NPI Number : 1568621068
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROXANNA MERINDA STEWART DMD
Provider Business Mailing Address
First Line : PO BOX 1090
Second Line : SEARCY HOSPITAL
City : MOUNT VERNON
State : AL
Zip : 36560-1090
Country : US
Telephone Number : 251-662-6822
Fax Number :
Provider Business Practice Location Address
First Line : 725 COY SMITH HWY E
Second Line :
City : MOUNT VERNON
State : AL
Zip : 36560-3322
Country : US
Telephone Number : 251-662-6822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2008
Last Update Date : 06/09/2008

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