Provider Demographics
NPI:1689059081
Name:STELLA NORMANDAY PLLC
Entity Type:Organization
Organization Name:STELLA NORMANDAY PLLC
Other - Org Name:STELLA DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:NGUYEN
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-767-3443
Mailing Address - Street 1:779 NORMANDY ST
Mailing Address - Street 2:SUITE # 113
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-3599
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:779 NORMANDY ST
Practice Address - Street 2:SUITE # 113
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-3599
Practice Address - Country:US
Practice Address - Phone:832-767-3443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23675122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty