Provider Demographics
NPI:1932117637
Name:MORENCY, JEAN DAVANNES (DMD)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:DAVANNES
Last Name:MORENCY
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 1:7324 SOUTHWEST FWY
Mailing Address - Street 2:SUITE #490
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2012
Mailing Address - Country:US
Mailing Address - Phone:713-777-1774
Mailing Address - Fax:713-777-7137
Practice Address - Street 1:7324 SOUTHWEST FWY
Practice Address - Street 2:SUITE #490
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2012
Practice Address - Country:US
Practice Address - Phone:713-777-1774
Practice Address - Fax:713-777-7137
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice