Provider Demographics
NPI:1841379526
Name:DOSHI, JAY K (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:K
Last Name:DOSHI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16000 STUEBNER AIRLINE RD STE 230
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7303
Mailing Address - Country:US
Mailing Address - Phone:281-376-9068
Mailing Address - Fax:281-251-4350
Practice Address - Street 1:16000 STUEBNER AIRLINE RD STE 230
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7303
Practice Address - Country:US
Practice Address - Phone:281-376-9068
Practice Address - Fax:281-251-4350
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145700402Medicaid