Provider Demographics
NPI:1861687568
Name:STEWART, JAMES ERWIN (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ERWIN
Last Name:STEWART
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2737 WEST CECIL AVE
Mailing Address - Street 2:DENTAL DEPARTMENT
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93216-0567
Mailing Address - Country:US
Mailing Address - Phone:661-721-2345
Mailing Address - Fax:661-721-6289
Practice Address - Street 1:1122 NORTH MATTHEW AVE
Practice Address - Street 2:
Practice Address - City:FARMERSVILLE
Practice Address - State:CA
Practice Address - Zip Code:93223-0295
Practice Address - Country:US
Practice Address - Phone:559-747-3885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA234041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice