Provider Demographics
NPI:1518112929
Name:APPLEGATE, JOYCE MARIE (RDH)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:MARIE
Last Name:APPLEGATE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:MARIE
Other - Last Name:BROWNFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:809 SOUTH INDIANA AVENUE
Mailing Address - Street 2:DR. ROGER REYNOLDS
Mailing Address - City:SELLERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47172
Mailing Address - Country:US
Mailing Address - Phone:812-246-9033
Mailing Address - Fax:
Practice Address - Street 1:809 SOUTH INDIANA AVENUE
Practice Address - Street 2:
Practice Address - City:SELLERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47172
Practice Address - Country:US
Practice Address - Phone:812-246-9033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1088124Q00000X
IN13003231124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist