# JOE R. GORHAM DDS,INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235560574
- **Authorized official:** MRS. JEAN M BADER (DENTAL HYGIENIST)
- **Authorized official phone:** (214) 388-7416

## Contact information

- **Practice address:** 2222 N PRAIRIE CREEK RD, DALLAS, TX 75227-8101
- **Practice address phone:** (214) 388-7416
- **Mailing address:** 2222 N PRAIRIE CREEK RD, DALLAS, TX 75227-8101
- **Mailing address phone:** (214) 388-7416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7599 | TX | Yes |

## Other

- **Enumeration date:** 12/12/2013
- **Last updated:** 01/16/2014