Provider Demographics
NPI:1013027531
Name:LUNAN, JOY KATHLEEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:KATHLEEN
Last Name:LUNAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 STRAITS TPKE
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06762-2847
Mailing Address - Country:US
Mailing Address - Phone:203-598-7920
Mailing Address - Fax:203-758-8412
Practice Address - Street 1:819 STRAITS TPKE
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:CT
Practice Address - Zip Code:06762-2847
Practice Address - Country:US
Practice Address - Phone:203-598-7920
Practice Address - Fax:203-758-8412
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT65941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice