Provider Demographics
NPI:1023397429
Name:ATME, JOSEPH YOUSSEF (DDS)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:YOUSSEF
Last Name:ATME
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:YOUSEF
Other - Middle Name:
Other - Last Name:ABOU ATME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:15650 36TH AVE N
Mailing Address - Street 2:#150
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446
Mailing Address - Country:US
Mailing Address - Phone:763-557-0287
Mailing Address - Fax:763-557-0295
Practice Address - Street 1:15650 36TH AVE N
Practice Address - Street 2:#150
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446
Practice Address - Country:US
Practice Address - Phone:763-557-0287
Practice Address - Fax:763-557-0295
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12021122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist