Davis, Stephen Earl

Davis, Stephen Earl is an individual health care provider with primary practice located at 1320 Windsor St , Huntsville TX 77340-5616. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Davis, Stephen Earl can be contacted via phone (936) 291-3345.

Contact Information

Primary practice address
1320 Windsor St Huntsville TX 77340-5616
Phone: (936) 291-3345
Fax: (936) 291-9866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 10039 Texas

Profile Details

NPI number 1558360826
LBN Legal business name Davis, Stephen Earl
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558360826 NPPES
Texas Other 74-2113901 TAX ID
Texas Other 10039 TAX ID

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