MEDICARE: DAVID STAHL BRIGHT DDS MS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	11630	TX

General Provider Information

NPI Number	:	1356435598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID STAHL BRIGHT DDS MS

Provider Business Mailing Address
First Line	:	810 S MASON RD STE 290
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-3858
Country	:	US
Telephone Number	:	281-599-1555
Fax Number	:	281-599-3811

Provider Business Practice Location Address
First Line	:	810 S MASON RD STE 290
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-3858
Country	:	US
Telephone Number	:	281-599-1555
Fax Number	:	281-599-3811

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	12/03/2020

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