Provider Demographics
NPI:1902921885
Name:ENGLISH, JERYL DELBERT (DDS)
Entity Type:Individual
Prefix:
First Name:JERYL
Middle Name:DELBERT
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 SHELL ISLAND CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7905
Mailing Address - Country:US
Mailing Address - Phone:713-500-4119
Mailing Address - Fax:713-500-4123
Practice Address - Street 1:UNIVERSITY OF TEXAS DENTAL BRANCH
Practice Address - Street 2:6516 M D ANDERSON BLVD # 370
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-500-4119
Practice Address - Fax:713-500-4123
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX173321223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80101704OtherDPS
TXBE5286693OtherDEA