Provider Demographics
NPI:1649904004
Name:GARZA, ERNEST REED (DDS)
Entity type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:REED
Last Name:GARZA
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 1:1707 N HALL ST APT 457
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-4270
Mailing Address - Country:US
Mailing Address - Phone:361-249-4910
Mailing Address - Fax:
Practice Address - Street 1:204 S NURSERY RD UNIT 170
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75060-3184
Practice Address - Country:US
Practice Address - Phone:972-600-9229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX385361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice