Provider Demographics
NPI:1376663617
Name:JOINER, GERALDINE (DDS)
Entity Type:Individual
Prefix:
First Name:GERALDINE
Middle Name:
Last Name:JOINER
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 1:2801 S VALLEY VIEW
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-4452
Mailing Address - Country:US
Mailing Address - Phone:702-385-3149
Mailing Address - Fax:702-385-7041
Practice Address - Street 1:2801 S VALLEY VIEW
Practice Address - Street 2:SUITE 4
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-4452
Practice Address - Country:US
Practice Address - Phone:702-385-3149
Practice Address - Fax:702-385-7041
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice