Stuart W Erwin DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8414 Issued in GA

Legal business name

STUART W ERWIN DMD PC

Practice address

22 Laurel Dr
Elberton, GA 30635-1818

Phone

(706) 283-8190

Fax

(709) 283-1090

NPI assigned

Aug 15, 2006

Last updated

Aug 31, 2007By 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

Stuart Wendel Erwin, DMDNPI 1417130436

Title

President

Phone

(706) 283-8190

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Stuart W Erwin, DMD

  • Dentist
  • Elberton, GA
  • NPI 1417130436
  NPD (past) Authorized official
• Amanda Erwin Chandler, DMD

  • Dentist
  • Elberton, GA
  • NPI 1992111371
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1205849437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LAUREL DR",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351818",
            "telephone_number": "706-283-8190",
            "fax_number": "709-283-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LAUREL DR",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351818",
            "telephone_number": "706-283-8190",
            "fax_number": "709-283-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART W ERWIN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "WENDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-283-8190",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00157242A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denny W Seymour Sr., RPH
• Nancy R Sheppard, RPH
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• Colt Smith
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• Timothy Styles
• Suttles Family Chiropractic, LLC
• Carissa Janine Suttles, D.C.
• Tammy Heard Host Home
• The House of Refuge

• General Practice Dentistry in Elberton, GA
• Providers in Elberton, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.