Provider Demographics
NPI:1184790750
Name:VIANA, JOSEPH F (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:F
Last Name:VIANA
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 1:970 NORTH BROADWAY
Mailing Address - Street 2:SUITE 211
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701
Mailing Address - Country:US
Mailing Address - Phone:914-375-0721
Mailing Address - Fax:914-709-2956
Practice Address - Street 1:970 NORTH BROADWAY
Practice Address - Street 2:SUITE 211
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701
Practice Address - Country:US
Practice Address - Phone:914-375-0721
Practice Address - Fax:914-709-2956
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY361991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice