PATRYCJA STEWART DENTAL CORP NPI 1265085443

NPI Information

NPI: 1265085443
Provider Name: PATRYCJA STEWART DENTAL CORP
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6244 EL CAJON BLVD STE 6
SAN DIEGO, CA
ZIP 92115
Phone: (619) 583-2191
Get Directions

PATRYCJA STEWART DENTAL CORP is a dental clinic center in San Diego, CA. PATRYCJA STEWART DENTAL CORP NPI is 1265085443. The provider is registered as an organization entity type.

The provider's business location address is:

6244 EL CAJON BLVD STE 6
SAN DIEGO, CA
ZIP 92115-918
Phone: (619) 583-2191
Fax: (619) 583-2192

The provider's authorized official is Patrycja Stewart .
The authorized official title is Dentist and has the following contact phone number (619) 283-2191.

The enumeration date for this NPI number is 7/17/2019 and was last updated on 7/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1730427907	OTHER	CALIFORNIA	NA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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