Provider Demographics
NPI:1730248147
Name:PIERCE, JOE A
Entity type:Individual
Prefix:DR
First Name:JOE
Middle Name:A
Last Name:PIERCE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13611 SKINNER RD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1018
Mailing Address - Country:US
Mailing Address - Phone:281-758-2790
Mailing Address - Fax:281-758-2791
Practice Address - Street 1:13611 SKINNER RD
Practice Address - Street 2:SUITE 135
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1018
Practice Address - Country:US
Practice Address - Phone:281-758-2790
Practice Address - Fax:281-758-2791
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX209391223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry