Provider Demographics
NPI:1609008127
Name:FLIEGER, JOYCE A (RDH)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:A
Last Name:FLIEGER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7942 N PASEO DEL NORTE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-3218
Mailing Address - Country:US
Mailing Address - Phone:520-742-6099
Mailing Address - Fax:520-742-6099
Practice Address - Street 1:7942 N PASEO DEL NORTE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-3218
Practice Address - Country:US
Practice Address - Phone:520-742-6099
Practice Address - Fax:520-742-6099
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZH2364124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist