Provider Demographics
NPI:1871958785
Name:STEPHEN A. MCANANEY, D.D.S., PC
Entity type:Organization
Organization Name:STEPHEN A. MCANANEY, D.D.S., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCANANEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:903-465-4055
Mailing Address - Street 1:613 N US HIGHWAY 75
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-1333
Mailing Address - Country:US
Mailing Address - Phone:903-465-4055
Mailing Address - Fax:903-465-8834
Practice Address - Street 1:613 N US HIGHWAY 75
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-1333
Practice Address - Country:US
Practice Address - Phone:903-465-4055
Practice Address - Fax:903-465-8834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16520122300000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty