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NPI Code Detail

MEDICARE: DR. CHRISTOPHER ALEXANDER STEWART DDS, MS

MEDICARE: DR. CHRISTOPHER ALEXANDER STEWART DDS, MS
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 DentistryDDS109577CA
21223G0001XGeneral Practice Dentistry019-023083IL

General Provider Information

NPI Number : 1831160225
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER ALEXANDER STEWART DDS, MS
Provider Business Mailing Address
First Line : 11196 INDIAN LORE CT
Second Line :
City : SAN DIEGO
State : CA
Zip : 92127-1193
Country : US
Telephone Number : 858-668-6406
Fax Number :
Provider Business Practice Location Address
First Line : 425 N DATE ST
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3413
Country : US
Telephone Number : 760-520-8330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2006
Last Update Date : 02/12/2024

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