Healthcare Provider Details

I. General information

NPI: 1699207977
Provider Name (Legal Business Name): JU RI HUR D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4421 LONG PRAIRIE RD STE 400
FLOWER MOUND TX
75028-1752
US

IV. Provider business mailing address

2700 CEDAR CREEK LN APT 1317
DENTON TX
76210-2132
US

V. Phone/Fax

Practice location:
  • Phone: 972-691-3636
  • Fax:
Mailing address:
  • Phone: 972-800-5867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number32303
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: