Provider Demographics
NPI:1730561234
Name:STEWART, NATALIE (DMD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:STEWART
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:KELSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:5976 MEIJER DR
Mailing Address - Street 2:SUITE 110-B
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2191
Mailing Address - Country:US
Mailing Address - Phone:513-712-1085
Mailing Address - Fax:
Practice Address - Street 1:5976 MEIJER DR
Practice Address - Street 2:SUITE 110-B
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-2191
Practice Address - Country:US
Practice Address - Phone:513-712-1085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.024456122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist