JENNIFER STEWART DDS LLC NPI 1578088894

NPI Information

  • NPI: 1578088894
  • Provider Name: JENNIFER STEWART DDS LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: GLEN BURNIE FAMILY DENTAL
  • Address: 7600 RITCHIE HWY
    GLEN BURNIE, MD
    ZIP 21061
  • Phone: (410) 760-6699

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NPI Details

JENNIFER STEWART DDS LLC is a dental clinic center in Glen Burnie, MD. JENNIFER STEWART DDS LLC NPI is 1578088894. The provider is registered as an organization entity type.
The provider Is Doing Business As Glen Burnie Family Dental.

The provider's business location address is:

7600 RITCHIE HWY
GLEN BURNIE, MD
ZIP 21061
Phone: (410) 760-6699

The provider's authorized official is Jennifer Jean Stewart .
The authorized official title is Dentist/owner and has the following contact phone number (410) 760-6699.

The enumeration date for this NPI number is 8/8/2017 and was last updated on 5/9/2019.

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
1261QD0000XClinic/CenterDental14041MARYLANDYes

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
11558565408MEDICAIDMARYLAND

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: 11/21/2025

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