Stewart, Roger Patrick
Stewart, Roger Patrick is an sole proprietor health care provider with primary practice located at 2920 Marietta Hwy Suite 146, Canton GA 30114-8212. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stewart, Roger Patrick can be contacted via phone (770) 704-6987.Contact Information
Primary practice address
2920 Marietta Hwy Suite 146
Canton GA 30114-8212
Phone: (770) 704-6987
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8625 | Georgia |
Profile Details
| NPI number | 1326109216 |
|---|---|
| LBN Legal business name | Stewart, Roger Patrick |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326109216 | NPPES |
| Georgia | Other | 100599 | AVESIS |
| Georgia | Other | 9182355 | AVESIS |
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