Provider Demographics
NPI:1992220602
Name:DUTT, GURNOOR (DDS)
Entity Type:Individual
Prefix:
First Name:GURNOOR
Middle Name:
Last Name:DUTT
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 1:2350 WESTCREEK LN APT 6108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-4353
Mailing Address - Country:US
Mailing Address - Phone:512-939-6850
Mailing Address - Fax:
Practice Address - Street 1:5708 CHIMNEY ROCK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2713
Practice Address - Country:US
Practice Address - Phone:713-337-7870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-03
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33410122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist