MEDICARE: EDGAR AND GLASS DDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1184564999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDGAR AND GLASS DDS PLLC

Provider Business Mailing Address
First Line	:	7000 LOUETTA RD STE A
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7450
Country	:	US
Telephone Number	:	281-376-1214
Fax Number	:

Provider Business Practice Location Address
First Line	:	7000 LOUETTA RD STE A
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7450
Country	:	US
Telephone Number	:	281-376-1214
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEPHEN GLASS
Credential	:	DDS
Telephone Number	:	281-376-1214

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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