Provider Demographics
NPI:1871684084
Name:PIERCY, JOEL C (DDS,PC)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:C
Last Name:PIERCY
Suffix:
Gender:M
Credentials:DDS,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2319 BROWNS MILL RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-1910
Mailing Address - Country:US
Mailing Address - Phone:423-282-1591
Mailing Address - Fax:423-282-3561
Practice Address - Street 1:2319 BROWNS MILL RD
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-1910
Practice Address - Country:US
Practice Address - Phone:423-282-1591
Practice Address - Fax:423-282-3561
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice