Provider Demographics
NPI:1073869756
Name:JOYNER, SAMUEL BALFOUR III (DMD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:BALFOUR
Last Name:JOYNER
Suffix:III
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 1:2030 WAMBAW CRK STE 106
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29492-8382
Mailing Address - Country:US
Mailing Address - Phone:843-388-5168
Mailing Address - Fax:
Practice Address - Street 1:2030 WAMBAW CRK STE 106
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29492-8382
Practice Address - Country:US
Practice Address - Phone:843-388-5168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8071122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist