| Brent A Stephens,dds Pa | |
|
4703 Ne Stallings Dr Nacogdoches TX 75965-1607 | |
| (936) 560-0698 | |
| Not Available |
| Full Name | Brent A Stephens,dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4703 Ne Stallings Dr, Nacogdoches, Texas |
| Authorized Official Name and Position | Brent A Stephens (PRESIDENT) |
| Authorized Official Contact | 9365600698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent A Stephens,dds Pa 4703 Ne Stallings Dr Nacogdoches TX 75965-1607 Ph: (936) 560-0698 | Brent A Stephens,dds Pa 4703 Ne Stallings Dr Nacogdoches TX 75965-1607 Ph: (936) 560-0698 |
| NPI Number | 1821106428 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 07/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821106428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19091 (Texas) | Primary |
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