Provider Demographics
NPI:1982040945
Name:HALL, JOY ESTELLE (RDH)
Entity Type:Individual
Prefix:MS
First Name:JOY
Middle Name:ESTELLE
Last Name:HALL
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8630 FENTON STREET SUITE 1204
Mailing Address - Street 2:
Mailing Address - City:SLIVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3490
Mailing Address - Country:US
Mailing Address - Phone:336-847-2409
Mailing Address - Fax:
Practice Address - Street 1:200 GIRARD ST STE 206
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-3490
Practice Address - Country:US
Practice Address - Phone:240-499-2636
Practice Address - Fax:240-499-2602
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-17
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD6864124Q00000X
DCHYG1000701124Q00000X
NC8823124Q00000X
VA0402205485124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist