Stewart, Gregg Alan
Stewart, Gregg Alan is an individual health care provider with primary practice located at 13275 W Colonial Dr , Winter Garden FL 34787-3984. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Stewart, Gregg Alan can be contacted via phone (407) 905-8827.Contact Information
Primary practice address
13275 W Colonial Dr
Winter Garden FL 34787-3984
Phone: (407) 905-8827
Fax: (407) 654-4582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN10172 | Florida |
Profile Details
| NPI number | 1619977733 |
|---|---|
| LBN Legal business name | Stewart, Gregg Alan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Mar 21st, 2014 - about 10 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 | 1619977733 | NPPES |
| Florida | MEDICAID | 073306700 |
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