Fort Stewart Dentac

Primary specialty

Operational (Transportable) Military General Acute Care HospitalTaxonomy code 2865X1600X

License

DH009363 Issued in GA

Legal business name

FORT STEWART DENTAC

Practice address

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Phone

(912) 312-3352

NPI assigned

Jun 23, 2016

Organization subpart

No

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

Authorized official

Name

Glenda Ann Withers, RDH

Title

Registered Dental Hygienist

Phone

(912) 312-3352

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asma Shareef, DDS

  • Dentist
  • Fort Stewart, GA
  • NPI 1609098177
  NPD (past)

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1437500220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 WARRIOR ROAD",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-312-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-312-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT STEWART DENTAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "WITHERS",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "REGISTERED DENTAL HYGIENIST",
        "authorized_official_telephone_number": "912-312-3352",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "2865X1600X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital. Operational (Transportable)",
            "state": "GA",
            "license": "DH009363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Fontaine, M.D.
• Arielle Ford
• Jane Beckwith Ford, D.D.S
• Tara Ford, LCSW
• MC Rey Padua Formoso
• Timothy Donald Fortney, PSY.D.
• Eugenia Elizabeth Foster, RRT
• Kathleen Elise Foster, R.N,
• Wendy Suzanne Foster, DDS
• Sharee Fountain

• Military Hospital in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Military Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.