Provider Demographics
NPI:1174156913
Name:DR. KAREN-LEE JONES STEWART, D.D.S., P.L.L.C.
Entity type:Organization
Organization Name:DR. KAREN-LEE JONES STEWART, D.D.S., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN-LEE
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-665-9104
Mailing Address - Street 1:2390 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-6110
Mailing Address - Country:US
Mailing Address - Phone:734-665-9104
Mailing Address - Fax:734-665-4055
Practice Address - Street 1:2390 S STATE ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-6110
Practice Address - Country:US
Practice Address - Phone:734-665-9104
Practice Address - Fax:734-665-4055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-20
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental