Provider Demographics
NPI:1356338420
Name:STERN, MICHAEL H (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:H
Last Name:STERN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:5959 WEST LOOP S
Mailing Address - Street 2:STE 640
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2421
Mailing Address - Country:US
Mailing Address - Phone:713-779-9000
Mailing Address - Fax:713-668-2348
Practice Address - Street 1:5959 WEST LOOP S
Practice Address - Street 2:STE 640
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2421
Practice Address - Country:US
Practice Address - Phone:713-779-9000
Practice Address - Fax:713-668-2348
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX98781223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics