MEDICARE: MINI JOSEPH DDS PLLC

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
1	261QD0000X	Dental Clinic/Center	25154	TX

General Provider Information

NPI Number	:	1538689799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINI JOSEPH DDS PLLC

Provider Business Mailing Address
First Line	:	506 BEVERLY DR
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-6367
Country	:	US
Telephone Number	:	972-878-3984
Fax Number	:

Provider Business Practice Location Address
First Line	:	2977 SOUTH PRECINCT LINE ROAD
Second Line	:	SUITE 213
City	:	FORT WORTH
State	:	TX
Zip	:	76118-7611
Country	:	US
Telephone Number	:	817-595-9600
Fax Number	:	817-595-9600

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MINI JOSEPH
Credential	:	DDS
Telephone Number	:	415-307-4671

Provider Enumeration Date	:	06/20/2017
Last Update Date	:	06/20/2017

Similar Medicare Providers

1023653243 — DL DURABLE EQUIPMENT LLC
Practice Location Address:

801 E. DEBBIE LANE SUITE 101C
FORT WORTH, TX
76118-7611

Practice Phone: 817-287-8044
Practice Fax:

1144428558 — MRS. ESMERALDA LORNA HOWARD C-N.P.
Practice Location Address:

1350 S MAIN ST , SUITE # 3200
FORT WORTH, TX
76104-7611

Practice Phone: 817-702-3925
Practice Fax:

1295053072 — DR. MANDEEP S MATTA M.D.
Practice Location Address:

1350 S MAIN ST
FORT WORTH, TX
76104-7611

Practice Phone: 817-927-3701
Practice Fax: 817-920-6924

1679027759 — ESTHER FASANMI PHARM.D.
Practice Location Address:

1350 S MAIN ST , SUITE 1600
FORT WORTH, TX
76104-7611

Practice Phone: 817-702-3701
Practice Fax:

1902409758 — DESIRE LYNN NESMITH DOULA
Practice Location Address:

6269 EL CAPITAN ST
FORT WORTH, TX
76179-7611

Practice Phone: 585-576-1109
Practice Fax:

1295578920 — ASHLEY MARIE WHITFIELD
Practice Location Address:

1350 S MAIN ST
FORT WORTH, TX
76104-7611

Practice Phone: 817-702-8400
Practice Fax: 817-702-4670

Directions to “MINI JOSEPH DDS PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.