Provider Demographics
NPI:1750909479
Name:AN, JOICE (DDS)
Entity type:Individual
Prefix:
First Name:JOICE
Middle Name:
Last Name:AN
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 1:10300 KATY FWY APT 343
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-5132
Mailing Address - Country:US
Mailing Address - Phone:281-660-9935
Mailing Address - Fax:
Practice Address - Street 1:10300 KATY FWY APT 343
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-5132
Practice Address - Country:US
Practice Address - Phone:281-660-9935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX367971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice