Individual provider · Type 1 NPI

Shadoe Stewart, DDS

Periodontics · Greensboro, NC

NPI number 1700515632 Active

Practice location

1591 Yanceyville St Ste 300B
Greensboro, NC 27405-6944

Fax (336) 274-1951

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X12739 (NC)
Dentist 122300000X12739 (NC)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1700515632

Shadoe Stewart, DDS's National Provider Identifier is 1700515632, issued on Jun 7, 2022. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Greensboro, NC. The record was last updated on Mar 26, 2026.