Joseph Dental of South Shore LLC

Organization Active NPI General Practice Dentistry · South Shore, KY

NPI 1053707240 · NPPES record last updated Apr 14, 2015

Key facts

NPI
1053707240
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
19829 (OH)
Legal business name
JOSEPH DENTAL OF SOUTH SHORE LLC
Practice address
126 Biggs LN
South Shore, KY 41175-7847
Phone
(606) 932-3181
NPI assigned
Apr 14, 2015
Organization subpart
No

Authorized official

Name
Dr. Joe Robert Joseph Jr., DDS
Title
Owner
Phone
(614) 777-8722

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 19829 OH Yes

Addresses

Primary practice location

126 Biggs LN
South Shore, KY 41175-7847

Mailing address

126 Biggs LN
South Shore, KY 41175-7847

Other names

  • South Shore Family Dental Doing business as

Other providers in South Shore, KY

All providers in South Shore, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.