Provider Demographics
NPI:1114187911
Name:DENTISTS AT THE COMMONS, PC
Entity Type:Organization
Organization Name:DENTISTS AT THE COMMONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-894-4311
Mailing Address - Street 1:7548 FM 1960 RD W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-5806
Mailing Address - Country:US
Mailing Address - Phone:281-894-4311
Mailing Address - Fax:281-894-7771
Practice Address - Street 1:7548 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5806
Practice Address - Country:US
Practice Address - Phone:281-894-4311
Practice Address - Fax:281-894-7771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-15
Last Update Date:2008-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty