Provider Demographics
NPI:1154485845
Name:ROBERT E. STEVENS, DDS
Entity Type:Organization
Organization Name:ROBERT E. STEVENS, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-328-4846
Mailing Address - Street 1:5909 FM2100
Mailing Address - Street 2:P.O.BOX 488
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532
Mailing Address - Country:US
Mailing Address - Phone:281-328-4846
Mailing Address - Fax:281-328-5605
Practice Address - Street 1:5909 FM2100
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532
Practice Address - Country:US
Practice Address - Phone:281-328-4846
Practice Address - Fax:281-328-5605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty