Provider Demographics
NPI:1073622809
Name:STEVENSON, HAROLD CHAPMAN III (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:CHAPMAN
Last Name:STEVENSON
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:HAL
Other - Middle Name:C
Other - Last Name:STEVENSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2830 COMMERCIAL CENTER BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6405
Mailing Address - Country:US
Mailing Address - Phone:281-693-1333
Mailing Address - Fax:281-693-2207
Practice Address - Street 1:2830 COMMERCIAL CENTER BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6405
Practice Address - Country:US
Practice Address - Phone:281-693-1333
Practice Address - Fax:281-693-2207
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91251223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics