Provider Demographics
NPI:1033303227
Name:JAMES L. JOY DDS, PC
Entity Type:Organization
Organization Name:JAMES L. JOY DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST / OWNER / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:JOY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:256-773-5442
Mailing Address - Street 1:601 SPARKMAN ST SW
Mailing Address - Street 2:
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-3121
Mailing Address - Country:US
Mailing Address - Phone:256-773-5442
Mailing Address - Fax:
Practice Address - Street 1:601 SPARKMAN ST SW
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-3121
Practice Address - Country:US
Practice Address - Phone:256-773-5442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL43051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL90745OtherBLUE CROSS PROVIDER #
AL90745JOYMedicare PIN
ALU42542Medicare UPIN