Provider Demographics
NPI:1649581141
Name:NORWOOD, LESLIE NICOLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:NICOLE
Last Name:NORWOOD
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 1:9447 JONES RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4412
Mailing Address - Country:US
Mailing Address - Phone:281-970-4000
Mailing Address - Fax:
Practice Address - Street 1:9447 JONES RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4412
Practice Address - Country:US
Practice Address - Phone:281-970-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-29
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX254951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice