Provider Demographics
NPI:1033145347
Name:BARMORE, JOYCE (DDS)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:
Last Name:BARMORE
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 1:32 B MALLETTS BAY AVENUE
Mailing Address - Street 2:
Mailing Address - City:WINOOSKI
Mailing Address - State:VT
Mailing Address - Zip Code:05404-2228
Mailing Address - Country:US
Mailing Address - Phone:802-655-8822
Mailing Address - Fax:802-655-8821
Practice Address - Street 1:32 B MALLETTS BAY AVENUE
Practice Address - Street 2:
Practice Address - City:WINOOSKI
Practice Address - State:VT
Practice Address - Zip Code:05404-2228
Practice Address - Country:US
Practice Address - Phone:802-655-8822
Practice Address - Fax:802-655-8821
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT01600011761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0004167Medicaid
VT0160001176OtherLICENSE #