BRADLEY M STEWART DMD LLC


Address: 6855 Crumpler Blvd Ste 100, Olive Branch, MS 38654-1930
Phone: 9012620217

BRADLEY M STEWART DMD LLC (NPI# 1366956419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366956419
Entity Type Organization
Organization Name BRADLEY M STEWART DMD LLC
Practice Address 6855 Crumpler Blvd Ste 100
Olive Branch
MS 38654-1930
Practice Telephone 9012620217
Mailing Telephone 9012620217
Enumeration Date 2017-11-28
Last Update Date 2017-11-28
Authorized Official Name DR. BRADLEY MITCHELL STEWART (OWNER)
Authorized Official Telephone 9012620217
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
3105-99 MS Ambulatory Health Care Facilities

Office Location

Street Address 6855 CRUMPLER BLVD STE 100
City OLIVE BRANCH
State MS
Zip Code 38654-1930

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093366213 Latonya Shontae Binion Home Health 5915 Brice Cove North, Olive Branch, MS 38654 2019-09-28
1356828677 Heath Bryan Coleman, Dds of Mississippi II, Pllc Dentist 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 2018-07-20
1629565684 Alexis Summerville Mcdavis Pharmacist 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 2018-04-16
1194237206 Exos Physical Therapy and Sports Medicine, LLC Physical Therapist 6542 Goodman Rd, Olive Branch, MS 38654 2017-10-30
1609386515 Laken Hood Richardson Physical Therapist 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 2017-10-05
1275064255 Heart of Hospice, LLC Hospice Care, Community Based 9849 Highway 178 Unit B, Olive Branch, MS 38654 2017-03-22
1023557865 Michael Patrick Mccallum Counselor 9320 Railroad Ave., Olive Branch, MS 38654 2017-02-13
1891179768 Desoto Children's Clinic - Olive Branch Pediatrics 7145 Goodman Road, Olive Branch, MS 38654 2015-07-10
1891185203 Kristina Harper Midwife 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 2015-01-23
1275955098 Global Medical Durable Medical Equipment & Medical Supplies 6229 Hwy 305 Ste L, Olivebranch, MS 38654 2014-01-14
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780903427 Olive Branch Dental Care Pa Clinic/Center 8935 Goodman Rd, Olive Branch, MS 38654-2201 2010-05-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144838970 Superior Smiles, LLC Clinic/Center 16690 E Main St, Louisville, MS 39339-2750 2020-07-17
1255991196 Sky Family Dental, LLC Clinic/Center 200 Meadowlane Street, Eupora, MS 39744 2019-06-13
1851886857 Grenada Dental Clinic Pllc Clinic/Center 1800 Hill Dr Ste A, Grenada, MS 38901-5071 2018-06-22
1467940627 Ld-columbus LLC Clinic/Center 611 Leigh Dr, Columbus, MS 39705-3036 2018-04-24
1821592734 Integrity Dental Clinic, Pllc Clinic/Center 201 E Layfair Dr Ste 100, Flowood, MS 39232-7604 2018-03-23
1336647924 Murphree's Smile Designers Clinic/Center 602 Pegram Dr, Tupelo, MS 38801-6322 2018-01-29
1144735481 Peoples Dental Pa Clinic/Center 1016 Louisville St Ste G, Starkville, MS 39759-3953 2017-12-08
1316458136 Reservoir Smiles Dentistry, Pllc Clinic/Center 1149 Old Fannin Rd Ste 26, Brandon, MS 39047-9244 2017-10-19
1356851752 Oakdale Family Dentistry Clinic/Center 2139 Hwy 471, Flowood, MS 39232 2017-10-11
1073985925 Decatur Dental, LLC Clinic/Center 68 Fourth Ave, Decatur, MS 39327-9713 2015-10-30
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Competitor

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City OLIVE BRANCH
Zip Code 38654

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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