Provider Demographics
NPI:1255321865
Name:ALVAREZ, JOSEPH VICTOR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:VICTOR
Last Name:ALVAREZ
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:P.O. BOX 188
Mailing Address - Street 2:FAMILY HEALTHCARE, INC.
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601
Mailing Address - Country:US
Mailing Address - Phone:740-773-4366
Mailing Address - Fax:740-775-7855
Practice Address - Street 1:31891 STATE ROUTE 93
Practice Address - Street 2:
Practice Address - City:MC ARTHUR
Practice Address - State:OH
Practice Address - Zip Code:45651-9006
Practice Address - Country:US
Practice Address - Phone:740-596-5249
Practice Address - Fax:740-596-4821
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH18895122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0751824Medicaid
OH2079647Medicaid