Provider Demographics
NPI:1326457045
Name:STEPHEN C HALE DDS, INC
Entity Type:Organization
Organization Name:STEPHEN C HALE DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:409-945-6551
Mailing Address - Street 1:2515 PALMER HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77590-7077
Mailing Address - Country:US
Mailing Address - Phone:409-945-6551
Mailing Address - Fax:409-945-9901
Practice Address - Street 1:2515 PALMER HWY
Practice Address - Street 2:SUITE B
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77590-7077
Practice Address - Country:US
Practice Address - Phone:409-945-6551
Practice Address - Fax:409-945-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX138821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty