Provider Demographics
NPI:1285801597
Name:LOEBL, STEPHEN M (DDS)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:M
Last Name:LOEBL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 BEECHNUT ST
Mailing Address - Street 2:294
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-4335
Mailing Address - Country:US
Mailing Address - Phone:713-927-1507
Mailing Address - Fax:713-467-4134
Practice Address - Street 1:7500 BEECHNUT ST
Practice Address - Street 2:294
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-4335
Practice Address - Country:US
Practice Address - Phone:713-927-1507
Practice Address - Fax:713-467-4134
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9867122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist