Provider Demographics
NPI:1982959441
Name:NORRIS, ARIELLE MICHELLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARIELLE
Middle Name:MICHELLE
Last Name:NORRIS
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 1:5057 KELLER SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-6231
Mailing Address - Country:US
Mailing Address - Phone:214-522-2008
Mailing Address - Fax:972-385-2304
Practice Address - Street 1:821 ALLEN ST
Practice Address - Street 2:1132
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-5761
Practice Address - Country:US
Practice Address - Phone:940-390-4304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28000122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist