Provider Demographics
NPI:1154652584
Name:DENTAL HEALTH MANAGEMENT SOLUTIONS, INC
Entity Type:Organization
Organization Name:DENTAL HEALTH MANAGEMENT SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:SHANE
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-989-6990
Mailing Address - Street 1:2001 WINDY TERRACE
Mailing Address - Street 2:STE F
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-4289
Mailing Address - Country:US
Mailing Address - Phone:512-989-6990
Mailing Address - Fax:512-989-5995
Practice Address - Street 1:2001 WINDY TER
Practice Address - Street 2:STE F
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-4289
Practice Address - Country:US
Practice Address - Phone:512-989-6990
Practice Address - Fax:512-989-5995
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENTAL HEALTH MANAGEMENT SOLUTIONS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-25
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16325122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty