Provider Demographics
NPI:1588786628
Name:STUART, JAMES M (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:STUART
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10718 CARMEL COMMONS BLVD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-3784
Mailing Address - Country:US
Mailing Address - Phone:704-541-5888
Mailing Address - Fax:704-541-5820
Practice Address - Street 1:10718 CARMEL COMMONS BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-3784
Practice Address - Country:US
Practice Address - Phone:704-541-5888
Practice Address - Fax:704-541-5820
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6389122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC56-2075995OtherIRS - TAX ID