Provider Demographics
NPI:1770602351
Name:THOMAS, JOYCE JOY (DMD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:JOY
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:JOYCE
Other - Middle Name:JOY
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:15225 SHADY GROVE ROAD
Mailing Address - Street 2:STE 301
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-948-1212
Mailing Address - Fax:301-840-1722
Practice Address - Street 1:15225 SHADY GROVE ROAD
Practice Address - Street 2:STE 301 CHERYL F CALLAHAN DDS PA
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-948-1212
Practice Address - Fax:301-840-1722
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0132891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice