Provider Demographics
NPI:1811508740
Name:GERGES, MONICA ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:ANN
Last Name:GERGES
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 1:1611 MOSSY STONE DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5577
Mailing Address - Country:US
Mailing Address - Phone:281-995-4445
Mailing Address - Fax:
Practice Address - Street 1:1802 N RICHMOND RD
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-2715
Practice Address - Country:US
Practice Address - Phone:979-532-1920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36430122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist