Provider Demographics
NPI:1750542726
Name:GEORGE, LINCY KOSHY (DDS)
Entity type:Individual
Prefix:DR
First Name:LINCY
Middle Name:KOSHY
Last Name:GEORGE
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 1:2495 S MASON RD
Mailing Address - Street 2:APT 513
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-6068
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2495 S MASON RD
Practice Address - Street 2:APT 513
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-6068
Practice Address - Country:US
Practice Address - Phone:425-256-0323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-22
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29789122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist