Provider Demographics
NPI:1063675130
Name:HALFORD, DENNIS E (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:E
Last Name:HALFORD
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4503 SWEETWATER BLVD
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3010
Mailing Address - Country:US
Mailing Address - Phone:281-980-8351
Mailing Address - Fax:281-980-6151
Practice Address - Street 1:4503 SWEETWATER BLVD
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3010
Practice Address - Country:US
Practice Address - Phone:281-980-8351
Practice Address - Fax:281-980-6151
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX126591223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics