Provider Demographics
NPI:1235218124
Name:MCCUEN, JOEL MASON (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:MASON
Last Name:MCCUEN
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 1:5456 DUBLIN RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-2514
Mailing Address - Country:US
Mailing Address - Phone:614-889-2323
Mailing Address - Fax:
Practice Address - Street 1:1000 OLD HENDERSON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-3702
Practice Address - Country:US
Practice Address - Phone:614-262-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2009-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH13938122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist