Stuart Dental, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13088 Issued in FL

Legal business name

STUART DENTAL, INC

Practice address

424 Colorado Ave
Stuart, FL 34994-3003

Phone

(772) 286-2124

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Conrad V Hibbert, DMD

Title

Dentist

Phone

(772) 286-2124

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629101308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 COLORADO AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943003",
            "telephone_number": "772-286-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 COLORADO AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943003",
            "telephone_number": "772-286-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIBBERT",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "772-286-2124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "13088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Cardiology Group LLC
• Stuart Cardiovascular Anesthesia Associates PLLC
• Stuart Cardiovascular Associates, PLLC
• Stuart Chiropractic Center PA
• Stuart Dental Care, LLC
• Stuart Diagnostics Center LLC
• Stuart Emergency Physicians
• Stuart Emergency Physicians
• Stuart Eye Institute PA
• Stuart Family Dentistry, Inc.

• General Practice Dentistry in Stuart, FL
• Providers in Stuart, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.