Stephen Kabisch
Individual provider Active NPI General Practice Dentistry · Nocona, TX
NPI 1295742955 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295742955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 11003 (TX)
- Practice address
- 108 E Walnut St
Nocona, TX 76255-2122 - Phone
- (940) 825-6842
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11003 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fisher Dentistry Nocona PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11003 | TX | Yes |
Addresses
Primary practice location
108 E Walnut St
Nocona, TX 76255-2122
Mailing address
108 E Walnut St
PO Box 38
Nocona, TX 76255-2122
Phone (940) 825-6842
Other providers in Nocona, TX
- Edward Scott Hamilton
- Melanie S Hansard
- Henrietta Pharmacy, Inc.
- Amina S Hussein-Day
- Melissa Jacobs
- Meagan Kirk
- David Lynn Kleinhans
- Tonya Michelle Knight
- Cheryl Ann Locke
- Laurie Lou Martin
All providers in Nocona, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.