Provider Demographics
NPI:1669543211
Name:PERIH, JOYCE A (DDS, MS)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:A
Last Name:PERIH
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 SPRUCE ST
Mailing Address - Street 2:BANK TOWERS, SUITE 901
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18503-1400
Mailing Address - Country:US
Mailing Address - Phone:570-969-9650
Mailing Address - Fax:570-963-5888
Practice Address - Street 1:321 SPRUCE ST
Practice Address - Street 2:BANK TOWERS, SUITE 901
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503-1400
Practice Address - Country:US
Practice Address - Phone:570-969-9650
Practice Address - Fax:570-963-5888
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025006L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics