Provider Demographics
NPI:1114934635
Name:JOY, JAMES LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LEE
Last Name:JOY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 DANIELLE DR
Mailing Address - Street 2:
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-9116
Mailing Address - Country:US
Mailing Address - Phone:256-773-5442
Mailing Address - Fax:256-773-5299
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:256-773-5299
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL43051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL90745OtherBCBS OF AL PROVIDER #
ALU42542Medicare UPIN
AL90745JOYMedicare ID - Type Unspecified