Cassandra R Stewart DDS MPH PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CASSANDRA R STEWART DDS MPH PA

Practice address

5937 Highway 42
Ellenwood, GA 30294-3800

Phone

(248) 342-7057

Fax

(678) 567-7928

NPI assigned

Apr 26, 2021

Last updated

Apr 26, 2021By 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. Cassandra R Stewart, DDSNPI 1407203847

Title

Ceo

Phone

(734) 330-1923

Specialties & licenses 1

Addresses

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.

• Cassandra Stewart, DDS

  • Pediatric Dentistry
  • Lithia Springs, GA
  • NPI 1407203847
  NPD Authorized official

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1396327623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 LAWSON DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300646418",
            "telephone_number": "248-342-7057",
            "fax_number": "678-567-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5937 HIGHWAY 42",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302943800",
            "telephone_number": "248-342-7057",
            "fax_number": "678-567-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRA R STEWART DDS MPH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-330-1923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenesha Campbell
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• Latonya Ann Cash, LPN
• Christian Kyle Casimir
• Grayson Cathy
• CDR Management Group, LLC (Fins Home Care)
• Cedar Grove Rehab LLC
• Alvin Cephas, CST/CFA
• Joe S. Chafin, DMD

• Pediatric Dentistry in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.