# FOSSUM FAMILY DENTAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003050717
- **Authorized official:** DR. STEVE FOSSUM DDS (DENTIST/OWNER)
- **Authorized official phone:** (832) 595-2266

## Contact information

- **Practice address:** 1840 FM 359, RICHMOND, TX 77406
- **Practice address phone:** (832) 595-2266
- **Practice address fax:** (832) 595-2293
- **Mailing address:** 1840 FM 359, RICHMOND, TX 77406
- **Mailing address phone:** (832) 595-2266
- **Mailing address fax:** (832) 595-2293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22804 | TX | Yes |

## Other

- **Enumeration date:** 04/24/2009
- **Last updated:** 09/10/2021