Provider Demographics
NPI:1982714481
Name:STANTON, ROBERT F (DMD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:STANTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:23051 KINGWOOD PLACE DR.
Mailing Address - Street 2:BLDG A, STE 100
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339
Mailing Address - Country:US
Mailing Address - Phone:280-358-2997
Mailing Address - Fax:281-358-5632
Practice Address - Street 1:23051 KINGWOOD PLACE DR.
Practice Address - Street 2:BLDG A, STE 100
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339
Practice Address - Country:US
Practice Address - Phone:280-358-2997
Practice Address - Fax:281-358-5632
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX148161223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX14816OtherLICENSE NUMBER
TX15961Medicare UPIN