Provider Demographics
NPI:1093483471
Name:GERASCO, JOY E (DMD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:E
Last Name:GERASCO
Suffix:
Gender:F
Credentials:DMD, PHD
Other - Prefix:DR
Other - First Name:JOY
Other - Middle Name:E
Other - Last Name:KIRKPATRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD, PHD
Mailing Address - Street 1:113 W POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-1689
Mailing Address - Country:US
Mailing Address - Phone:614-726-0029
Mailing Address - Fax:
Practice Address - Street 1:385 S COLUMBIA ST
Practice Address - Street 2:DEPARTMENT OF ORTHODONTICS
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599
Practice Address - Country:US
Practice Address - Phone:919-537-3737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12442122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist