Provider Demographics
NPI:1477611671
Name:DOSSEY, GARRY
Entity Type:Individual
Prefix:
First Name:GARRY
Middle Name:
Last Name:DOSSEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 KIRBY DR
Mailing Address - Street 2:SUITE 550
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3900
Mailing Address - Country:US
Mailing Address - Phone:254-776-4867
Mailing Address - Fax:
Practice Address - Street 1:6001 W WACO DR
Practice Address - Street 2:SUITE 616
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-6306
Practice Address - Country:US
Practice Address - Phone:254-776-4867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice