Provider Demographics
NPI:1164401915
Name:HARR, JOY LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:LYNN
Last Name:HARR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1C ELM GROVE CROSSING MALL
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-5300
Mailing Address - Country:US
Mailing Address - Phone:304-242-9600
Mailing Address - Fax:304-242-9631
Practice Address - Street 1:1C ELM GROVE CROSSING MALL
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-5300
Practice Address - Country:US
Practice Address - Phone:304-242-9600
Practice Address - Fax:304-242-9631
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH219721223G0001X
WV3890122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice