Provider Demographics
NPI:1427492099
Name:HONNLEE, STEPHANNIE (DDS)
Entity type:Individual
Prefix:DR
First Name:STEPHANNIE
Middle Name:
Last Name:HONNLEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3037 GRACE HARPER DR
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71112-5037
Mailing Address - Country:US
Mailing Address - Phone:210-396-3635
Mailing Address - Fax:
Practice Address - Street 1:5563 DE ZAVALA RD STE 160
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-1738
Practice Address - Country:US
Practice Address - Phone:210-696-7885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-25
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28723122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist