Cassandra R Stewart Dds Mph Pa | |
5937 Highway 42 Ellenwood GA 30294-3800 | |
(248) 342-7057 | |
(678) 567-7928 |
Full Name | Cassandra R Stewart Dds Mph Pa |
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Speciality | Dentist - Pediatric Dentistry |
Location | 5937 Highway 42, Ellenwood, Georgia |
Authorized Official Name and Position | Cassandra R Stewart (CEO) |
Authorized Official Contact | 7343301923 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cassandra R Stewart Dds Mph Pa 3048 Lawson Dr Marietta GA 30064-6418 Ph: (248) 342-7057 | Cassandra R Stewart Dds Mph Pa 5937 Highway 42 Ellenwood GA 30294-3800 Ph: (248) 342-7057 |
NPI Number | 1396327623 |
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Provider Enumeration Date | 04/26/2021 |
Last Update Date | 04/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396327623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Fairview Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Fairview Rd, Ellenwood, GA 30294 Phone: 281-728-5042 | |
T.e.bruno, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5937 Highway 42, Ellenwood, GA 30294 Phone: 770-961-6272 Fax: 770-961-0472 |