Provider Demographics
NPI:1487528709
Name:JUNIPER DENTAL PLLC
Entity type:Organization
Organization Name:JUNIPER DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADVISOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIBETH
Authorized Official - Middle Name:STENGER
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-469-9339
Mailing Address - Street 1:3849 JUNIPER MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4430
Mailing Address - Country:US
Mailing Address - Phone:210-790-2553
Mailing Address - Fax:
Practice Address - Street 1:1336 LEAGUE LINE RD STE 400
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-3457
Practice Address - Country:US
Practice Address - Phone:936-856-9969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty