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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1326109216 NPPES
Georgia Other 100599 AVESIS
Georgia Other 9182355 AVESIS

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