Provider Demographics
NPI:1801861224
Name:COLLIER, JOY M (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:M
Last Name:COLLIER
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 1:1646 N. LITCHFIELD RD
Mailing Address - Street 2:STE 125
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395
Mailing Address - Country:US
Mailing Address - Phone:623-935-2755
Mailing Address - Fax:623-935-0265
Practice Address - Street 1:1646 N. LITCHFIELD RD.
Practice Address - Street 2:STE 125
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395
Practice Address - Country:US
Practice Address - Phone:623-935-2755
Practice Address - Fax:623-935-0265
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD7426122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist