Provider Demographics
NPI:1780861690
Name:HEBERT - SCHOENER, STACY (DDS)
Entity Type:Individual
Prefix:DR
First Name:STACY
Middle Name:
Last Name:HEBERT - SCHOENER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 BISSONNET ST
Mailing Address - Street 2:SUITE 296
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2155
Mailing Address - Country:US
Mailing Address - Phone:713-666-1597
Mailing Address - Fax:713-666-1598
Practice Address - Street 1:3400 BISSONNET ST
Practice Address - Street 2:SUITE 296
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-2155
Practice Address - Country:US
Practice Address - Phone:713-666-1597
Practice Address - Fax:713-666-1598
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22865122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist