Provider Demographics
NPI:1972677995
Name:STYLES, JOSEPH R (DDS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:R
Last Name:STYLES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 E MINNESOTA ST
Mailing Address - Street 2:PO BOX 607
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MN
Mailing Address - Zip Code:56374-8618
Mailing Address - Country:US
Mailing Address - Phone:320-363-7729
Mailing Address - Fax:320-363-0308
Practice Address - Street 1:1514 E MINNESOTA ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MN
Practice Address - Zip Code:56374-8618
Practice Address - Country:US
Practice Address - Phone:320-363-7729
Practice Address - Fax:320-363-0308
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN83701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice