Provider Demographics
NPI:1104104165
Name:TROUPE, JOEY (DMD)
Entity type:Individual
Prefix:DR
First Name:JOEY
Middle Name:
Last Name:TROUPE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5961 ALDER ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-2018
Mailing Address - Country:US
Mailing Address - Phone:814-952-1026
Mailing Address - Fax:
Practice Address - Street 1:355 5TH AVE STE 1500
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-2418
Practice Address - Country:US
Practice Address - Phone:814-952-1026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0387931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice