IndividualActive
R. Stewart, D.M.D.
NPI 1417166703 · Periodontics · Jackson, MS
Provider details
- NPI number
- 1417166703
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2364-87 (MS)
Practice location
406 Briarwood Dr Ste 101
Jackson, MS 39206-3059
Phone: (601) 956-1230
Fax: (601) 956-0201
Mailing address
406 Briarwood Dr Ste 101
Jackson, MS 39206-3059
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.