Provider Demographics
NPI:1326073636
Name:STEVEN D CALKINS DDS PA
Entity Type:Organization
Organization Name:STEVEN D CALKINS DDS PA
Other - Org Name:BRAZOS VALLEY ENDODONTIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:CALKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:979-776-6152
Mailing Address - Street 1:2901 E 29TH STREET
Mailing Address - Street 2:#117
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802
Mailing Address - Country:US
Mailing Address - Phone:979-776-6152
Mailing Address - Fax:979-774-9962
Practice Address - Street 1:2901 E 29TH STREET
Practice Address - Street 2:#117
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802
Practice Address - Country:US
Practice Address - Phone:979-776-6152
Practice Address - Fax:979-774-9962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123471223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty