Provider Demographics
NPI:1811140387
Name:JOY FAMILY DENTISTRY P.C
Entity type:Organization
Organization Name:JOY FAMILY DENTISTRY P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUJU
Authorized Official - Middle Name:BEHENAN
Authorized Official - Last Name:JOY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-940-2444
Mailing Address - Street 1:2300 ROUTE 27
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1138
Mailing Address - Country:US
Mailing Address - Phone:732-940-2444
Mailing Address - Fax:732-940-2446
Practice Address - Street 1:2300 ROUTE 27
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1138
Practice Address - Country:US
Practice Address - Phone:732-940-2444
Practice Address - Fax:732-940-2446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D102250300261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental