Provider Demographics
NPI:1770704009
Name:TUGGEY, JEAN (DDS)
Entity type:Individual
Prefix:DR
First Name:JEAN
Middle Name:
Last Name:TUGGEY
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 1:8090 PRECINCT LINE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-7676
Mailing Address - Country:US
Mailing Address - Phone:817-428-8700
Mailing Address - Fax:817-428-8916
Practice Address - Street 1:1721 CIMARRON TRL
Practice Address - Street 2:SUITE 11
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3400
Practice Address - Country:US
Practice Address - Phone:817-285-8466
Practice Address - Fax:817-285-0302
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14456122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist