Provider Demographics
NPI:1447530860
Name:COMFORT DENTAL STONE OAK, PLLC
Entity type:Organization
Organization Name:COMFORT DENTAL STONE OAK, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FRONT OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:KANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCTIERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-490-8300
Mailing Address - Street 1:203 N LOOP 1604 W
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1027
Mailing Address - Country:US
Mailing Address - Phone:210-490-8300
Mailing Address - Fax:210-490-8301
Practice Address - Street 1:203 N LOOP 1604 W
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1027
Practice Address - Country:US
Practice Address - Phone:210-490-8300
Practice Address - Fax:210-490-8301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty