Organization · NPI-2

Fort Stewart Dentac

Military Hospital, Military General Acute Care Hospital. Operational (Transportable) · Fort Stewart, GA

NPI number1437500220
StatusActive
Last updated in NPPESJun 23, 2016

Details

NPI
1437500220
Entity type
Organization (NPI-2)
Legal business name
Fort Stewart Dentac
Organization subpart
No
Enumeration date
Jun 23, 2016
Last updated
Jun 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2865X1600X Military Hospital, Military General Acute Care Hospital. Operational (Transportable)DH009363GAYes

Practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Phone 912-312-3352

Mailing address

343 Warrior Road
Fort Stewart, GA 31314

Phone 912-312-3352

Authorized official

Glenda Ann Withers
Registered Dental Hygienist
9123123352

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