Provider Demographics
NPI:1558580712
Name:ADKINS, JOEY LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOEY
Middle Name:LEE
Last Name:ADKINS
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 1:4968 ELK RIVER RD S
Mailing Address - Street 2:
Mailing Address - City:ELKVIEW
Mailing Address - State:WV
Mailing Address - Zip Code:25071-9644
Mailing Address - Country:US
Mailing Address - Phone:304-965-6661
Mailing Address - Fax:
Practice Address - Street 1:4968 ELK RIVER RD S
Practice Address - Street 2:
Practice Address - City:ELKVIEW
Practice Address - State:WV
Practice Address - Zip Code:25071-9644
Practice Address - Country:US
Practice Address - Phone:304-965-6661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV36431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice