Provider Demographics
NPI:1710992102
Name:KALMUS, STUART ROY II (DDS)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:ROY
Last Name:KALMUS
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13203 CIRCLE N DR W
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4117
Mailing Address - Country:US
Mailing Address - Phone:210-695-2353
Mailing Address - Fax:
Practice Address - Street 1:5970 BABCOCK RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-2136
Practice Address - Country:US
Practice Address - Phone:210-691-1200
Practice Address - Fax:210-691-5064
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012850122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist