GEORGE J STUART JR DDS PA (NPI# 1003039108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003039108 |
Entity Type | Organization |
Organization Name | GEORGE J STUART JR DDS PA |
Practice Address |
2040 A Randolph Rd Charlotte NC 28207 |
Practice Telephone | 7043771885 |
Practice Fax Number | 7043741731 |
Mailing Telephone | 7043771885 |
Mailing Fax Number | 7043741731 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. GEORGE J STUART JR. (PRESIDENT) |
Authorized Official Telephone | 7043771885 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
3505 | NC | Dental Providers |
Street Address |
2040 A RANDOLPH RD |
City | CHARLOTTE |
State | NC |
Zip Code | 28207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
Find all providers in zip 28207 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124300306 | Eric Francis D'silva | Dentist | 14135 Ballantyne Corporate Pl Ste 175, Charlotte, NC 28277-3876 | 2011-09-14 |
1558557173 | William C James Dds Pa | Dentist | 200 Queens Rd Ste 310, Charlotte, NC 28204-3257 | 2007-09-18 |
1710100813 | George J Stuart Jr. | Dentist | 1335 Elizabeth Ave, Cpcc Department of Dental Hygiene, Charlotte, NC 28204 | 2007-04-10 |
1982781597 | Robert Paul Rubins | Dentist | 3535 Randolph Rd Ste 103r, Charlotte, NC 28211-1081 | 2006-11-01 |
1033294483 | Tolmie, Rasenberger & Van Kesteren, Dds, Pa | Dentist | 2315 W Arbors Dr Ste 100, Charlotte, NC 28262-2660 | 2006-10-26 |
1831274539 | Kenneth P Rasenberger | Dentist | 8734 University City Blvd, Charlotte, NC 28213-3558 | 2006-10-25 |
1073620225 | H. Nelson Eddy Dds & Mehul H. Gadhia, Dmd, Msp | Dentist | 14135 Ballantyne Corporate Pl, Suite 175, Charlotte, NC 28277-3383 | 2006-08-24 |
1922030667 | Donald D Franklin I | Dentist | 1408 Orchard Lake Dr # A, Charlotte, NC 28270-1474 | 2006-07-06 |
1356391122 | Richard E Offutt IIi | Dentist | 6719 Fairview Rd, Charlotte, NC 28210-3323 | 2006-05-11 |
1518915560 | William Chandler James | Dentist | 200 Queens Road, Suite 310, Charlotte, NC 28204 | 2006-05-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.