Provider Demographics
NPI:1558709097
Name:JOSEPH, EMILY KAREN (DMD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KAREN
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01904-3024
Mailing Address - Country:US
Mailing Address - Phone:781-598-2100
Mailing Address - Fax:781-599-0514
Practice Address - Street 1:295 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01904-3024
Practice Address - Country:US
Practice Address - Phone:781-598-2100
Practice Address - Fax:781-599-0514
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA122300000X122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist