Provider Demographics
NPI:1912073883
Name:IRVING & STEPHENSON DDS, RLLP
Entity Type:Organization
Organization Name:IRVING & STEPHENSON DDS, RLLP
Other - Org Name:IRVING, STEPHENSON, & CURTIS DDS, RLLP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:H
Authorized Official - Last Name:STEPHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-473-0244
Mailing Address - Street 1:747 NEW HWY 287 N.
Mailing Address - Street 2:SUITE A
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-2619
Mailing Address - Country:US
Mailing Address - Phone:817-473-0244
Mailing Address - Fax:817-473-9878
Practice Address - Street 1:747 NEW HWY 287 N.
Practice Address - Street 2:SUITE A
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-2619
Practice Address - Country:US
Practice Address - Phone:817-473-0244
Practice Address - Fax:817-473-9878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13096122300000X
OK15096122300000X
TX22700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty