Provider Demographics
NPI:1437247368
Name:GARVEY, JOAN MARIE (DDS)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:MARIE
Last Name:GARVEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:JAMES
Other - Middle Name:
Other - Last Name:ANSELMO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3500 CLEARVIEW PKWY
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006
Mailing Address - Country:US
Mailing Address - Phone:504-887-5161
Mailing Address - Fax:
Practice Address - Street 1:4400 TRENTON ST
Practice Address - Street 2:STE. G
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-6550
Practice Address - Country:US
Practice Address - Phone:504-887-5161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA43501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice