Jennifer Stewart DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

14041 Issued in MD

Legal business name

JENNIFER STEWART DDS LLC

Doing business as

Glen Burnie Family Dental

Practice address

7600 Ritchie Hwy
Glen Burnie, MD 21061

Phone

(410) 760-6699

NPI assigned

Aug 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Jean Stewart, DDSNPI 1558565408

Title

Dentist/Owner

Phone

(410) 760-6699

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glen Burnie Family Dental Doing business as

Practitioners 2

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

• Jennifer Jean Stewart, D.D.S.

  • Dentist
  • Glen Burnie, MD
  • NPI 1558565408
  NPD Authorized official
• Gail L Myers, D.D.S

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1437226479
  NPD (past)

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1578088894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 STORMONT CIR",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212273817",
            "telephone_number": "443-794-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 RITCHIE HWY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-760-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER STEWART DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "410-760-6699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "14041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558565408",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Burnie Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey L Bober DPM PA
• Jeffrey L Bober, DPM PA
• Rudolph Jeffries Jr., MD
• Megan Lauren Jendrossek, CRNP
• Brittany Jo Jenkins, PA-C
• Christen Margaret Jeter
• Mandi Jewer, RN
• JH Home Health Services
• JH Medical Supply, LLC
• JH Pers Solutions LLC

• Dental Clinic/Center in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.