Provider Demographics
NPI:1669044335
Name:JOYCE, TIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:TIA
Middle Name:
Last Name:JOYCE
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 1:1185 LOOKOUT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-9200
Mailing Address - Country:US
Mailing Address - Phone:336-708-2657
Mailing Address - Fax:
Practice Address - Street 1:501 N SALEM ST
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-2315
Practice Address - Country:US
Practice Address - Phone:919-355-5123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC123701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice