Mr. Stewart Elgen Braddock is a Kirbyville, Texas based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Stewart Elgen Braddock is 13307 for General Practice Dentistry in Texas. His current practice location is 2091 South Margaret, Kirbyville. Patients can reach him at 409-423-5519.
Mr. Stewart Elgen Braddock is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mr. Stewart Elgen Braddock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mr. Stewart Elgen Braddock
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
2091 South Margaret, Kirbyville, Texas, 75956
Phone:
409-423-5519
Fax:
409-423-5519
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1578620431
NPI Enumeration Date:
02 Jan, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Stewart Elgen Braddock are as mentioned below.
License Number
Specialization
State
Status
13307
General Practice Dentistry
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Stewart Elgen Braddock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
701005
Other
UNITED CONCORDIA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2091 South Margaret, Kirbyville, Texas
Zip:
75956
Phone Number:
409-423-5519
Fax Number:
409-423-5519
Patients can reach Mr. Stewart Elgen Braddock at 2091 South Margaret, Kirbyville, Texas or can call to book an appointment on 409-423-5519. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.