Provider Demographics
NPI:1427261833
Name:KIM, JOYCE CHOA-YI (DDS)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:CHOA-YI
Last Name:KIM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 JAMES RD
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-7046
Mailing Address - Country:US
Mailing Address - Phone:570-412-2502
Mailing Address - Fax:
Practice Address - Street 1:111 FARLEY CIR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9244
Practice Address - Country:US
Practice Address - Phone:570-522-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS036632122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist