Provider Demographics
NPI:1336486802
Name:JOEL S. DOYON DDS,LLC,PA
Entity Type:Organization
Organization Name:JOEL S. DOYON DDS,LLC,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:DOYON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:207-929-6626
Mailing Address - Street 1:PO BOX 17
Mailing Address - Street 2:
Mailing Address - City:BUXTON
Mailing Address - State:ME
Mailing Address - Zip Code:04093-0017
Mailing Address - Country:US
Mailing Address - Phone:207-929-6626
Mailing Address - Fax:207-929-7727
Practice Address - Street 1:175 NARRAGANSETT TRL
Practice Address - Street 2:
Practice Address - City:BUXTON
Practice Address - State:ME
Practice Address - Zip Code:04093-6139
Practice Address - Country:US
Practice Address - Phone:207-929-6626
Practice Address - Fax:207-929-6627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty