Organization
NORTHEAST ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT F STANTON DMD (OWNER/OPERATOR)
(281) 358-2997
Entity
Organization
Contact information
Practice address
23051 KINGWOOD PLACE DR, BLDG A, STE 100, KINGWOOD, TX 77339
(281) 358-2997
(281) 358-5632
Mailing address
23051 KINGWOOD PLACE DR, BLDG A, STE 100, KINGWOOD, TX 77339
(281) 358-2997
(281) 358-5632
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
14816
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
16440
TX
Other
Enumeration date
02/05/2007
Last updated
04/03/2020
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