National Provider Identifier Database

FORT STEWART DENTAC
Military General Acute Care Hospital. Operational (Transportable)

A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in ?non-fixed? or deployed facilities. Entity is not Defense Health Program funded. Services are primarily intended for DoD active duty though some services may be furnished for non-DoD active duty. ?Non-fixed? facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. ?Non-fixed? facilities include hospital ships.


Contact Information

FORT STEWART DENTAC
1061 HARMON AVE
FORT STEWART, GA31314-5641
Phone: 912-312-3352
Fax:
Website:
Specialty Taxonomy Code
* Military General Acute Care Hospital. Operational (Transportable) 2865X1600X

* Indicates primary specialty

NPI Profile & details for FORT STEWART DENTAC

NPI Number 1437500220
Legal business name
LBN
FORT STEWART DENTAC
Authorized official GLENDA WITHERS - (REGISTERED DENTAL HYGIENIST)
Entity Organization
Organization subpart No
Enumeration date 06/23/2016
Last updated 06/23/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: DH009363

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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