Provider Demographics
NPI:1093895211
Name:JOSEPH, HARRY M (DDS)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:M
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:HARRY
Other - Middle Name:M
Other - Last Name:JOSEPH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1380 TEXAS PKWY STE E
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-6498
Mailing Address - Country:US
Mailing Address - Phone:832-360-2385
Mailing Address - Fax:832-360-2390
Practice Address - Street 1:1380 TEXAS PKWY STE E
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-6498
Practice Address - Country:US
Practice Address - Phone:832-360-2385
Practice Address - Fax:832-360-2390
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN17151122300000X
TX259191223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice