Provider Demographics
NPI:1053541458
Name:NORMAN S. STEWARD JR., DDS PA
Entity type:Organization
Organization Name:NORMAN S. STEWARD JR., DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:STEWARD
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:302-422-9791
Mailing Address - Street 1:214 S WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1958
Mailing Address - Country:US
Mailing Address - Phone:302-422-9791
Mailing Address - Fax:302-422-7307
Practice Address - Street 1:214 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1958
Practice Address - Country:US
Practice Address - Phone:302-422-9791
Practice Address - Fax:302-422-7307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG1-00001069122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty