Healthcare Provider Details

I. General information

NPI: 1750187787
Provider Name (Legal Business Name): JAY CHOU DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1729 ANALOG DR
RICHARDSON TX
75081-1944
US

IV. Provider business mailing address

1729 ANALOG DR
RICHARDSON TX
75081-1944
US

V. Phone/Fax

Practice location:
  • Phone: 972-437-0200
  • Fax:
Mailing address:
  • Phone: 972-437-0200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number42789
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: