Provider Demographics
NPI:1881890101
Name:LOCKWOOD ROACH, JOYCE (DDS)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:
Last Name:LOCKWOOD ROACH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 CHAPPAQUA RD
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-1354
Mailing Address - Country:US
Mailing Address - Phone:914-762-4422
Mailing Address - Fax:914-762-5169
Practice Address - Street 1:312 CHAPPAQUA RD
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1354
Practice Address - Country:US
Practice Address - Phone:914-762-4422
Practice Address - Fax:914-762-5169
Is Sole Proprietor?:No
Enumeration Date:2007-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0456161122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist