Provider Demographics
NPI:1851337844
Name:STINSON, JANET LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:LYNN
Last Name:STINSON
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 1:8436 DENTON HWY
Mailing Address - Street 2:SUITE 212
Mailing Address - City:WATAUGA
Mailing Address - State:TX
Mailing Address - Zip Code:76148-2472
Mailing Address - Country:US
Mailing Address - Phone:817-605-1900
Mailing Address - Fax:817-605-7664
Practice Address - Street 1:8436 DENTON HWY
Practice Address - Street 2:SUITE 212
Practice Address - City:WATAUGA
Practice Address - State:TX
Practice Address - Zip Code:76148-2472
Practice Address - Country:US
Practice Address - Phone:817-605-1900
Practice Address - Fax:817-605-7664
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX182961223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150468001Medicaid