MEDICARE: STACY L. NORMAN DDS

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	19430	TX

General Provider Information

NPI Number	:	1932220977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACY L. NORMAN DDS

Provider Business Mailing Address
First Line	:	2325 TIMBER SHADOWS DR BLDG A
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-2028
Country	:	US
Telephone Number	:	281-359-9100
Fax Number	:	281-359-0130

Provider Business Practice Location Address
First Line	:	1542 GREEN OAK PL
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-2010
Country	:	US
Telephone Number	:	281-359-9100
Fax Number	:	281-359-0130

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	12/08/2025

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