Provider Demographics
NPI:1467565739
Name:BAYMA-JILEK, JOYCE GAIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:GAIL
Last Name:BAYMA-JILEK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOYCE
Other - Middle Name:GAIL
Other - Last Name:JILEK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:910 WESAW RD
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-3061
Mailing Address - Country:US
Mailing Address - Phone:269-684-4439
Mailing Address - Fax:
Practice Address - Street 1:121 MAIN ST
Practice Address - Street 2:
Practice Address - City:BUCHANAN
Practice Address - State:MI
Practice Address - Zip Code:49107-1410
Practice Address - Country:US
Practice Address - Phone:269-695-3601
Practice Address - Fax:269-695-3694
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI140491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice