# MINI JOSEPH DDS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1538689799
- **Authorized official:** DR. MINI JOSEPH DDS (OWNER)
- **Authorized official phone:** (415) 307-4671

## Contact information

- **Practice address:** 2977 SOUTH PRECINCT LINE ROAD, SUITE 213, FORT WORTH, TX 76118-7611
- **Practice address phone:** (817) 595-9600
- **Practice address fax:** (817) 595-9600
- **Mailing address:** 506 BEVERLY DR, COPPELL, TX 75019-6367
- **Mailing address phone:** (972) 878-3984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 25154 | TX | Yes |

## Other

- **Enumeration date:** 06/20/2017
- **Last updated:** 06/20/2017