MEDICARE: DENTISTS AT THE COMMONS, PC

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	122300000X	Dentist

General Provider Information

NPI Number	:	1114187911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTISTS AT THE COMMONS, PC

Provider Business Mailing Address
First Line	:	7548 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-5806
Country	:	US
Telephone Number	:	281-894-4311
Fax Number	:	281-894-7771

Provider Business Practice Location Address
First Line	:	7548 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-5806
Country	:	US
Telephone Number	:	281-894-4311
Fax Number	:	281-894-7771

Authorized Official
Title or Position	:	PRES
Name	:	DR. ROBERT C STEWART III
Credential	:	DDS
Telephone Number	:	281-894-4311

Provider Enumeration Date	:	06/15/2008
Last Update Date	:	06/15/2008

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Directions to “DENTISTS AT THE COMMONS, PC ” Practice Location

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