Provider Demographics
NPI:1982859047
Name:JOYCE A HYDE DMD PLLC
Entity Type:Organization
Organization Name:JOYCE A HYDE DMD PLLC
Other - Org Name:DENTAL CARE OF RICHLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HYDE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:601-664-6655
Mailing Address - Street 1:1055 HIGHWAY 49 S STE C
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MS
Mailing Address - Zip Code:39218-7517
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1055 HIGHWAY 49 S STE C
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:MS
Practice Address - Zip Code:39218-7517
Practice Address - Country:US
Practice Address - Phone:601-664-6655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3389-06261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental