Provider Demographics
NPI:1528230463
Name:JOSEPH, JOBY M (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOBY
Middle Name:M
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 W RIVER ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06461-1921
Mailing Address - Country:US
Mailing Address - Phone:203-951-4646
Mailing Address - Fax:
Practice Address - Street 1:1761 W BROAD ST
Practice Address - Street 2:FRANK ROSS JR DDS AND ASSOCIATES
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-5752
Practice Address - Country:US
Practice Address - Phone:203-375-3763
Practice Address - Fax:203-375-5496
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9160122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist