Provider Demographics
NPI:1154094183
Name:ANAND, JYOTHI LAKSHMI (DMD)
Entity Type:Individual
Prefix:DR
First Name:JYOTHI
Middle Name:LAKSHMI
Last Name:ANAND
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:JYOTHI
Other - Middle Name:LAKSHMI
Other - Last Name:ANAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:4654 HIGHWAY 6 N STE 401
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-2880
Mailing Address - Country:US
Mailing Address - Phone:281-509-9194
Mailing Address - Fax:
Practice Address - Street 1:4654 HIGHWAY 6 N STE 401
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-2880
Practice Address - Country:US
Practice Address - Phone:281-509-9194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37334122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty