Provider Demographics
NPI:1104038355
Name:ROBERT D. STRINGFELLOW, DDS, INC.
Entity Type:Organization
Organization Name:ROBERT D. STRINGFELLOW, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:STRINGFELLOW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-296-6809
Mailing Address - Street 1:2727 BOLTON BOONE DR
Mailing Address - Street 2:SUITE 112
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2019
Mailing Address - Country:US
Mailing Address - Phone:972-296-6809
Mailing Address - Fax:972-283-8649
Practice Address - Street 1:2727 BOLTON BOONE DR
Practice Address - Street 2:SUITE 112
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2019
Practice Address - Country:US
Practice Address - Phone:972-296-6809
Practice Address - Fax:972-283-8649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX064181223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty