Stewart, Michael Ian

Stewart, Michael Ian is an individual health care provider with primary practice located at 718 Lakeview Rd , Clearwater FL 33756. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Stewart, Michael Ian can be contacted via phone (727) 441-8963.

Contact Information

Primary practice address
718 Lakeview Rd Clearwater FL 33756
Phone: (727) 441-8963
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN 0010395 Florida

Profile Details

NPI number 1033255534
LBN Legal business name Stewart, Michael Ian
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Oct 25th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033255534 NPPES
Florida MEDICAID 072202200

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