Provider Demographics
NPI:1245697663
Name:TTOK, PLLC
Entity type:Organization
Organization Name:TTOK, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOINER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-665-8544
Mailing Address - Street 1:4603 FM 1463 RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6545
Mailing Address - Country:US
Mailing Address - Phone:281-665-8544
Mailing Address - Fax:
Practice Address - Street 1:4603 FM 1463 RD
Practice Address - Street 2:SUITE 100
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6545
Practice Address - Country:US
Practice Address - Phone:281-665-8544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-16
Last Update Date:2016-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX221381223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX334712202Medicaid
TX334712204Medicaid
TX334712201Medicaid
TX334712206Medicaid
TX334712203Medicaid
TX334712205Medicaid
TX334712207Medicaid