Provider Demographics
NPI:1437164001
Name:JOYFUL SMILES FAMILY DENTISTRY, P.C.
Entity Type:Organization
Organization Name:JOYFUL SMILES FAMILY DENTISTRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOY
Authorized Official - Middle Name:DACQUEL
Authorized Official - Last Name:CLEM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-745-1222
Mailing Address - Street 1:PO BOX 477
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84317-0477
Mailing Address - Country:US
Mailing Address - Phone:801-745-1222
Mailing Address - Fax:801-745-1233
Practice Address - Street 1:237 S 7400 E
Practice Address - Street 2:BUILDING A
Practice Address - City:HUNTSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84317-9722
Practice Address - Country:US
Practice Address - Phone:801-745-1222
Practice Address - Fax:801-745-1233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT51057131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty