Provider Demographics
NPI:1851359715
Name:STOVCIK, JOY D (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:D
Last Name:STOVCIK
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 1:30 SOUTH MAIN STREET
Mailing Address - Street 2:P.O. BOX 265
Mailing Address - City:THORNVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43076-0265
Mailing Address - Country:US
Mailing Address - Phone:740-246-5286
Mailing Address - Fax:740-246-5309
Practice Address - Street 1:30 SOUTH MAIN ST.
Practice Address - Street 2:
Practice Address - City:THORNVILLE
Practice Address - State:OH
Practice Address - Zip Code:43076-0265
Practice Address - Country:US
Practice Address - Phone:740-246-5286
Practice Address - Fax:740-246-5309
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH145251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice