Provider Demographics
NPI:1659636801
Name:PATTON, ASHLEY NICKOLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:NICKOLE
Last Name:PATTON
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 1:2925 GULF FWY S STE D
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-6769
Mailing Address - Country:US
Mailing Address - Phone:281-337-0313
Mailing Address - Fax:
Practice Address - Street 1:2925 GULF FWY S STE D
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-6769
Practice Address - Country:US
Practice Address - Phone:281-337-0313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28203122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist