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NPI Code Detail

MEDICARE: ELIZABETH JOSEPH DDS

MEDICARE: ELIZABETH JOSEPH DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry18939TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033210158
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH JOSEPH DDS
Provider Business Mailing Address
First Line : 3108 N MACARTHUR BLVD
Second Line :
City : IRVING
State : TX
Zip : 75062-4451
Country : US
Telephone Number : 817-933-9816
Fax Number : 972-257-8322
Provider Business Practice Location Address
First Line : 3108 N MACARTHUR BLVD
Second Line :
City : IRVING
State : TX
Zip : 75062-4451
Country : US
Telephone Number : 972-252-9557
Fax Number : 972-257-8322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 10/24/2022

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Directions to “ ELIZABETH JOSEPH DDS” Practice Location

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