Provider Demographics
NPI:1265879985
Name:ROYSTON, JULIANNA (DDS)
Entity type:Individual
Prefix:
First Name:JULIANNA
Middle Name:
Last Name:ROYSTON
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:PO BOX 415
Mailing Address - Street 2:
Mailing Address - City:MALAKOFF
Mailing Address - State:TX
Mailing Address - Zip Code:75148-0415
Mailing Address - Country:US
Mailing Address - Phone:903-489-5025
Mailing Address - Fax:903-489-5028
Practice Address - Street 1:216 S LANE STREET
Practice Address - Street 2:
Practice Address - City:MALAKOFF
Practice Address - State:TX
Practice Address - Zip Code:75148
Practice Address - Country:US
Practice Address - Phone:903-489-5025
Practice Address - Fax:903-489-5028
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX289931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1982003638OtherNPI