Provider Demographics
NPI:1891978904
Name:JOSEPH, ROY (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7327 HUNTLEY DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3488
Mailing Address - Country:US
Mailing Address - Phone:281-851-9409
Mailing Address - Fax:832-999-4695
Practice Address - Street 1:11131 HARLEM ROAD, SUITE 130
Practice Address - Street 2:SUITE 130
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-7740
Practice Address - Country:US
Practice Address - Phone:832-847-6677
Practice Address - Fax:281-491-8604
Is Sole Proprietor?:No
Enumeration Date:2007-12-12
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23540122300000X, 1223G0001X
IL019.0275181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist