Stonehaven Dental Burleson PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STONEHAVEN DENTAL BURLESON PLLC

Doing business as

Stonehaven Dental

Practice address

225 E Renfro St Ste 109
Burleson, TX 76028-3916

Phone

(817) 259-1828

Fax

(817) 259-1829

NPI assigned

Sep 10, 2020

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Stonehaven Dental Doing business as

Locations

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1255946984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E RENFRO ST STE 109",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283916",
            "telephone_number": "817-259-1828",
            "fax_number": "817-259-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E RENFRO ST STE 109",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283916",
            "telephone_number": "817-259-1828",
            "fax_number": "817-259-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEHAVEN DENTAL BURLESON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonehaven Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stonehaven Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Keith Stewart, MD
• Christinne Cheri Stewart
• Julianna Stewart
• Letitia Rachel Stewart, CRNP
• Jessica Stodieck, AGACNP
• Kendall Stringer, PT
• Sara Stumph, MS CCC-SLP
• Ronald Sturdivan, NP
• Hannah Sturgil
• Madeline Sugar, FNP

• General Practice Dentistry in Burleson, TX
• Providers in Burleson, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.