Provider Demographics
NPI:1104847011
Name:R, STUART O'BRIEN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:O'BRIEN
Last Name:R
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:15958 CITY WALK
Mailing Address - Street 2:STE 230
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6583
Mailing Address - Country:US
Mailing Address - Phone:281-313-1565
Mailing Address - Fax:281-313-1575
Practice Address - Street 1:15958 CITY WALK
Practice Address - Street 2:STE 230
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6583
Practice Address - Country:US
Practice Address - Phone:281-313-1565
Practice Address - Fax:281-313-1575
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX181481223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics