Provider Demographics
NPI:1457734915
Name:TROXEL, JOY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:
Last Name:TROXEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:RENEE
Other - Last Name:NORDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1325 CENTRAL AVE
Mailing Address - Street 2:APT #5
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-4650
Mailing Address - Country:US
Mailing Address - Phone:260-580-0898
Mailing Address - Fax:
Practice Address - Street 1:1434 SHELBY ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-1945
Practice Address - Country:US
Practice Address - Phone:317-655-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-02
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12012361A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice