Provider Demographics
NPI:1952501595
Name:PAUL, DOROTHY (DDS)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:
Last Name:PAUL
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 1:2500 TANGLEWILDE ST STE 498
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2189
Mailing Address - Country:US
Mailing Address - Phone:713-977-1010
Mailing Address - Fax:713-266-6578
Practice Address - Street 1:2500 TANGLEWILDE ST STE 498
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2189
Practice Address - Country:US
Practice Address - Phone:713-977-1010
Practice Address - Fax:713-266-6578
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX234411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice