Stephen J Awe, DDS

Individual provider Active NPI Periodontics · Fort Sam Houston, TX

NPI 1629030846 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1629030846
Entity type
Individual (NPI type 1)
Primary specialty
Periodontics 1223P0300X
License
0401005789 (VA)
Practice address
2410 Stanley Road
Dentac Suite 200J
Fort Sam Houston, TX 78234-6230
Phone
(210) 295-2743
Fax
(210) 295-2602
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0401005789VAMDPeriodontist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 0401005789 VA Yes

Addresses

Primary practice location

2410 Stanley Road
Dentac Suite 200J
Fort Sam Houston, TX 78234-6230

Mailing address

2410 Stanley Road
Dentac Suite 200J
Fort Sam Houston, TX 78234-6230
Phone (210) 295-2743

Other providers in Fort Sam Houston, TX

All providers in Fort Sam Houston, TX · Periodontics in Texas

Sources for this page

Verify at the official NPI Registry.