Individual
DR. STEPHEN EARL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1320 WINDSOR ST, HUNTSVILLE, TX 77340-5616
(936) 291-3345
(936) 291-9866
Mailing address
1320 WINDSOR ST, HUNTSVILLE, TX 77340-5616
(936) 291-3345
(936) 291-9866
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10039
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10039
STATE LICENSE
TX
01
—
74-2113901
TAX ID
TX
Enumeration date
07/19/2005
Last updated
07/08/2007
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