Provider Demographics
NPI:1770671596
Name:JOYCE COATS INC
Entity Type:Organization
Organization Name:JOYCE COATS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:COATS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:812-752-2197
Mailing Address - Street 1:9 EAST WARDELL STREET
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47170-1831
Mailing Address - Country:US
Mailing Address - Phone:812-752-2197
Mailing Address - Fax:812-752-2197
Practice Address - Street 1:9 EAST WARDELL STREET
Practice Address - Street 2:
Practice Address - City:SCOTTSBURG
Practice Address - State:IN
Practice Address - Zip Code:47170-1831
Practice Address - Country:US
Practice Address - Phone:812-752-2197
Practice Address - Fax:812-752-2197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009099A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty