Provider Demographics
NPI:1306126610
Name:DEMETER, IOANA GABRIELA (DDS)
Entity type:Individual
Prefix:
First Name:IOANA
Middle Name:GABRIELA
Last Name:DEMETER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:IOANA
Other - Middle Name:GABRIELA
Other - Last Name:NEMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2804 ISLAND WREN DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-4938
Mailing Address - Country:US
Mailing Address - Phone:954-600-8846
Mailing Address - Fax:
Practice Address - Street 1:9201 ELAM RD
Practice Address - Street 2:STE 101
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-4152
Practice Address - Country:US
Practice Address - Phone:214-266-1618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX273061223G0001X
PADS0388591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice