MEDICARE: DR. STAN J. MALISKA D.D.S.

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	14331	TX

General Provider Information

NPI Number	:	1720192008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STAN J. MALISKA D.D.S.

Provider Business Mailing Address
First Line	:	2310 E VILLA MARIA RD
Second Line	:
City	:	BRYAN
State	:	TX
Zip	:	77802-2549
Country	:	US
Telephone Number	:	979-776-7166
Fax Number	:	979-776-8284

Provider Business Practice Location Address
First Line	:	2310 E VILLA MARIA RD
Second Line	:
City	:	BRYAN
State	:	TX
Zip	:	77802-2549
Country	:	US
Telephone Number	:	979-776-7166
Fax Number	:	979-776-8284

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

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1801881230 — DR. CHARLES DOUGLAS CRUMPLER JR. M.D.
Practice Location Address:

2308 E VILLA MARIA RD , SUITE 100
BRYAN, TX
77802-2549

Practice Phone: 979-776-0200
Practice Fax: 979-776-0400

1649244633 — DR. SUE C SIMPSON OD
Practice Location Address:

2320 E VILLA MARIA RD
BRYAN, TX
77802-2549

Practice Phone: 979-778-3927
Practice Fax: 979-985-3888

1487696761 — MARY KAREN VILLARREAL R.D., L.D.
Practice Location Address:

2308 E VILLA MARIA RD , SUITE 100
BRYAN, TX
77802-2549

Practice Phone: 979-776-0200
Practice Fax:

1225125644 — SUE C. SIMPSON
Practice Location Address:

2320 E VILLA MARIA RD
BRYAN, TX
77802-2549

Practice Phone: 979-779-9000
Practice Fax: 979-775-2020

1952473142 — MEDI-CARE EQUIPMENT SPECIALTIES INC.
Practice Location Address:

2308 E VILLA MARIA RD
BRYAN, TX
77802-2549

Practice Phone: 979-776-3776
Practice Fax:

1578042487 — EMILY B CAMPOS
Practice Location Address:

2549 ALLEN RIDGE DR
BRYAN, TX
77802-1770

Practice Phone: 979-200-9275
Practice Fax:

Directions to “ DR. STAN J. MALISKA D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.