Stewart, Rod C

Stewart, Rod C is an sole proprietor health care provider with primary practice located at 310 W Montgomery St , Willis TX 77378-8825. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stewart, Rod C can be contacted via phone (936) 856-2500.

Contact Information

Primary practice address
310 W Montgomery St Willis TX 77378-8825
Fax: (936) 856-2548
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13036 Texas

Profile Details

NPI number 1881738854
LBN Legal business name Stewart, Rod C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Jul 8th, 2007 - about 17 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 1881738854 NPPES
Texas Other 741666701 FEDERAL TAX ID

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