Stephen Earl Davis, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

10039 Issued in TX

Practice address

1320 Windsor St
Huntsville, TX 77340-5616

Phone

(936) 291-3345

Fax

(936) 291-9866

NPI assigned

Jul 19, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558360826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WINDSOR ST",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405616",
            "telephone_number": "936-291-3345",
            "fax_number": "936-291-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WINDSOR ST",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405616",
            "telephone_number": "936-291-3345",
            "fax_number": "936-291-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STEPHEN",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "10039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10039",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "74-2113901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Danford
• Hung Trong Dao, M.D.
• David L Rex MD PA
• David R. Ficklen, M.D., P.a. (Turtle Creek Medical)
• Stormy Ashley Davila
• Day N Night Medical Supply L.P
• Timothy James Deahl, M.D.
• Anna Deborde
• Evaristo Jamero Decena II, FNP-BC
• Tammy Decker

• Oral and Maxillofacial Surgery (Dentist) in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.