Mark R. Stewart, DMD, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3093 Issued in AR

Legal business name

MARK R. STEWART, DMD, INC.

Practice address

1316 W Collin Raye Dr
Suite a
De Queen, AR 71832-2135

Phone

(870) 584-3221

Fax

(870) 642-6846

NPI assigned

Mar 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jennifer M. Stewart

Title

Office Manager

Phone

(870) 642-5386

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark R. Stewart, D.M.D.

  • General Practice Dentistry
  • De Queen, AR
  • NPI 1063449528
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144346750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 W COLLIN RAYE DR",
            "address_2": "SUITE A",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322135",
            "telephone_number": "870-584-3221",
            "fax_number": "870-642-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 W COLLIN RAYE DR",
            "address_2": "SUITE A",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322135",
            "telephone_number": "870-584-3221",
            "fax_number": "870-642-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK R. STEWART, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-642-5386",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "3093",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Ann Martin, MS, OTR/L

• General Practice Dentistry in De Queen, AR
• Providers in De Queen, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.