Provider Demographics
NPI:1720134364
Name:MENZIES, JOYBELLE (DMD)
Entity Type:Individual
Prefix:
First Name:JOYBELLE
Middle Name:
Last Name:MENZIES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:749 OLD COUNTRY ROAD
Mailing Address - Street 2:
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901
Mailing Address - Country:US
Mailing Address - Phone:631-591-3727
Mailing Address - Fax:631-591-3726
Practice Address - Street 1:749 OLD COUNTRY ROAD
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901
Practice Address - Country:US
Practice Address - Phone:631-591-3727
Practice Address - Fax:631-591-3726
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04785911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice