Provider Demographics
NPI:1558376350
Name:DANNA, JOSEPHINE D (DDS)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:D
Last Name:DANNA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3880 PARKWOOD BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1929
Mailing Address - Country:US
Mailing Address - Phone:972-377-7800
Mailing Address - Fax:972-767-5006
Practice Address - Street 1:3880 PARKWOOD BLVD STE 103
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1929
Practice Address - Country:US
Practice Address - Phone:972-377-7800
Practice Address - Fax:972-767-5006
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX181721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice