Provider Demographics
NPI:1477849115
Name:DONAGHEY, JOSEPH KYLE (DMD,LLC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:KYLE
Last Name:DONAGHEY
Suffix:
Gender:M
Credentials:DMD,LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 N DEAN RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-9401
Mailing Address - Country:US
Mailing Address - Phone:334-821-8800
Mailing Address - Fax:334-821-8838
Practice Address - Street 1:836 N DEAN RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-9401
Practice Address - Country:US
Practice Address - Phone:334-821-8800
Practice Address - Fax:334-821-8838
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL58491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice