Provider Demographics
NPI:1356435598
Name:BRIGHT, DAVID STAHL (DDS MS)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:STAHL
Last Name:BRIGHT
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:810 S MASON RD STE 290
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3858
Mailing Address - Country:US
Mailing Address - Phone:281-599-1555
Mailing Address - Fax:281-599-3811
Practice Address - Street 1:810 S MASON RD STE 290
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3858
Practice Address - Country:US
Practice Address - Phone:281-599-1555
Practice Address - Fax:281-599-3811
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX116301223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics