Provider Demographics
NPI:1831538677
Name:YEPEZ, JOHANNA (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:JOHANNA
Middle Name:
Last Name:YEPEZ
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 STUDEWOOD ST STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1579
Mailing Address - Country:US
Mailing Address - Phone:713-234-1810
Mailing Address - Fax:713-609-9434
Practice Address - Street 1:927 STUDEWOOD ST STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1579
Practice Address - Country:US
Practice Address - Phone:713-234-1810
Practice Address - Fax:713-609-9434
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX288311223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics