Provider Demographics
NPI:1437764248
Name:JABBOUR, NATALIE NASSIF (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:NASSIF
Last Name:JABBOUR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:NASSIF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3717 TOWNSHIP LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5222
Mailing Address - Country:US
Mailing Address - Phone:281-499-3541
Mailing Address - Fax:
Practice Address - Street 1:3717 TOWNSHIP LN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5222
Practice Address - Country:US
Practice Address - Phone:281-499-3541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36684122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist