Provider Demographics
NPI:1790870665
Name:COCCHIOLA, JOY MARIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:MARIE
Last Name:COCCHIOLA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:KURZNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:931 PROVIDENCE ROAD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAK
Mailing Address - State:VA
Mailing Address - Zip Code:23325
Mailing Address - Country:US
Mailing Address - Phone:757-366-0330
Mailing Address - Fax:
Practice Address - Street 1:931 PROVIDENCE ROAD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23325
Practice Address - Country:US
Practice Address - Phone:757-366-0330
Practice Address - Fax:203-929-6207
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT75891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice