Provider Demographics
NPI:1598985764
Name:COMFORT CENTER FOR DENTISTRY, PA
Entity Type:Organization
Organization Name:COMFORT CENTER FOR DENTISTRY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:STEUBING
Authorized Official - Last Name:WREN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:830-995-5047
Mailing Address - Street 1:210B HWY. 87 N.
Mailing Address - Street 2:
Mailing Address - City:COMFORT
Mailing Address - State:TX
Mailing Address - Zip Code:78013
Mailing Address - Country:US
Mailing Address - Phone:830-995-0547
Mailing Address - Fax:830-995-5355
Practice Address - Street 1:210B HWY. 87 N.
Practice Address - Street 2:
Practice Address - City:COMFORT
Practice Address - State:TX
Practice Address - Zip Code:78013
Practice Address - Country:US
Practice Address - Phone:830-995-0547
Practice Address - Fax:830-995-5355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX198281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty