Provider Demographics
NPI:1063697175
Name:NAZZAL, JOYCE (DDS)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:
Last Name:NAZZAL
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 1:4647 SWEETWATER BLVD
Mailing Address - Street 2:#C
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3174
Mailing Address - Country:US
Mailing Address - Phone:281-340-3636
Mailing Address - Fax:281-340-3638
Practice Address - Street 1:4647 SWEETWATER BLVD
Practice Address - Street 2:#C
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3174
Practice Address - Country:US
Practice Address - Phone:281-340-3636
Practice Address - Fax:281-340-3638
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX234261223E0200X
TX00234261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice