Provider Demographics
NPI:1093051997
Name:JOY FOR DENTISTRY, LLC
Entity Type:Organization
Organization Name:JOY FOR DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YOON
Authorized Official - Middle Name:
Authorized Official - Last Name:LYOU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-322-4888
Mailing Address - Street 1:130 ALMSHOUSE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1130
Mailing Address - Country:US
Mailing Address - Phone:215-322-4888
Mailing Address - Fax:215-942-9178
Practice Address - Street 1:130 ALMSHOUSE RD STE 300
Practice Address - Street 2:
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1130
Practice Address - Country:US
Practice Address - Phone:215-322-4888
Practice Address - Fax:215-942-9178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-20
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0363471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty