Provider Demographics
NPI:1871026435
Name:ARTHUR, JOY KAY
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:KAY
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 GRAND CONCOURSE, 6TH FLOOR
Mailing Address - Street 2:BRONX- LEBANON HOSPITAL CENTER, DEPT OF DENTISTRY
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1775 GRAND CONCOURSE, 6TH FLOOR
Practice Address - Street 2:BRONX- LEBANON HOSPITAL CENTER, DEPT OF DENTISTRY
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453
Practice Address - Country:US
Practice Address - Phone:718-901-8110
Practice Address - Fax:718-901-8162
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-10
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN390200000X
OH30.025596122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty