Provider Demographics
NPI:1770922775
Name:DAVIS, JOYCE MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:MARIE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOYCE
Other - Middle Name:HINTON
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1800 BENNING RD NE
Mailing Address - Street 2:STE A
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-7258
Mailing Address - Country:US
Mailing Address - Phone:202-399-6249
Mailing Address - Fax:
Practice Address - Street 1:1800 BENNING RD NE
Practice Address - Street 2:STE A
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7258
Practice Address - Country:US
Practice Address - Phone:202-399-6249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN3616122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist