Provider Demographics
NPI:1881803013
Name:DAHO, JOSEPH J (DDS)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:J
Last Name:DAHO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 KIRKWOOD ST
Mailing Address - Street 2:
Mailing Address - City:PICAYUNE
Mailing Address - State:MS
Mailing Address - Zip Code:39466-3835
Mailing Address - Country:US
Mailing Address - Phone:504-450-0563
Mailing Address - Fax:
Practice Address - Street 1:201 KIRKWOOD ST
Practice Address - Street 2:
Practice Address - City:PICAYUNE
Practice Address - State:MS
Practice Address - Zip Code:39466-3835
Practice Address - Country:US
Practice Address - Phone:504-450-0563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA57941223G0001X
MS3451-081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice