Provider Demographics
NPI:1558471367
Name:JOSEPH, JANET A (DDS)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:A
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 MIDDLE ST
Mailing Address - Street 2:MIDDLESEX COMMUNITY COLLEGE DENTAL HYGIENE CLINIC
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1813
Mailing Address - Country:US
Mailing Address - Phone:978-656-3045
Mailing Address - Fax:
Practice Address - Street 1:44 MIDDLE ST
Practice Address - Street 2:MIDDLESEX COMMUNITY COLLEGE DENTAL HYGIENE CLINIC
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1813
Practice Address - Country:US
Practice Address - Phone:978-656-3045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA164341223G0001X
NH20311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice