Charles E Stewart DMD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS014417L Issued in PA

Legal business name

CHARLES E STEWART DMD

Practice address

940 Fallowfield Ave
Charleroi, PA 15022-2144

Phone

(724) 483-5630

NPI assigned

Apr 29, 2016

Last updated

Apr 29, 2016By 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

Dr. Charles Eugene Stewart, DMD

Title

Owner

Phone

(724) 483-5630

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1295180966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 FALLOWFIELD AVE",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150222144",
            "telephone_number": "724-483-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 FALLOWFIELD AVE",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150222144",
            "telephone_number": "724-483-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E STEWART DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-483-5630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS014417L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John J Charletta, DMD
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• Christine Savage Crawford, M.A.
• Alexa Leigh Cross, OTR/L
• Gina Marie Cross, CRNP

• Dental Clinic/Center in Charleroi, PA
• Providers in Charleroi, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.