Provider Demographics
NPI:1669590436
Name:MCANANEY, STEPHEN A (DDS)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:A
Last Name:MCANANEY
Suffix:
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 1:613 N US HIGHWAY 75
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-1333
Mailing Address - Country:US
Mailing Address - Phone:903-465-4055
Mailing Address - Fax:903-465-8834
Practice Address - Street 1:613 N US HIGHWAY 75
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-1333
Practice Address - Country:US
Practice Address - Phone:903-465-4055
Practice Address - Fax:903-465-8834
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16520122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist