Provider Demographics
NPI:1356873061
Name:JOY FAMILY DENTISTRY, P.A.
Entity type:Organization
Organization Name:JOY FAMILY DENTISTRY, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:HARRISON
Authorized Official - Last Name:JOY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-281-6329
Mailing Address - Street 1:495 BRICKELL AVE
Mailing Address - Street 2:APT 922
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2769
Mailing Address - Country:US
Mailing Address - Phone:305-281-6329
Mailing Address - Fax:
Practice Address - Street 1:240 S FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1721
Practice Address - Country:US
Practice Address - Phone:954-437-0033
Practice Address - Fax:954-437-7796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty