Provider Demographics
NPI:1003959321
Name:HELTON, JOEY V (DMD)
Entity Type:Individual
Prefix:
First Name:JOEY
Middle Name:V
Last Name:HELTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 456
Mailing Address - Street 2:
Mailing Address - City:AMORY
Mailing Address - State:MS
Mailing Address - Zip Code:38821-0456
Mailing Address - Country:US
Mailing Address - Phone:662-257-9700
Mailing Address - Fax:662-257-9730
Practice Address - Street 1:1202 GUY PICKLE DRIVE
Practice Address - Street 2:
Practice Address - City:AMORY
Practice Address - State:MS
Practice Address - Zip Code:38821-8212
Practice Address - Country:US
Practice Address - Phone:662-257-9700
Practice Address - Fax:662-257-9730
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3219021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS321902OtherMS DENTAL ASSN
MS321902OtherMS DENTAL ASSN