Provider Demographics
NPI:1306958905
Name:DENENA, JOSEPH F (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:F
Last Name:DENENA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10600 FONDREN RD
Mailing Address - Street 2:STE 212
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096
Mailing Address - Country:US
Mailing Address - Phone:713-771-6979
Mailing Address - Fax:713-541-4079
Practice Address - Street 1:10600 FONDREN RD
Practice Address - Street 2:STE 212
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096
Practice Address - Country:US
Practice Address - Phone:713-771-6979
Practice Address - Fax:713-541-4079
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice