Provider Demographics
NPI:1215953898
Name:DUFF, JOYCE A (DDS)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:A
Last Name:DUFF
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 1:3005 S PEORIA ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5713
Mailing Address - Country:US
Mailing Address - Phone:303-368-1409
Mailing Address - Fax:303-751-0978
Practice Address - Street 1:3005 S PEORIA ST
Practice Address - Street 2:SUITE B
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5713
Practice Address - Country:US
Practice Address - Phone:303-368-1409
Practice Address - Fax:303-751-0978
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO69771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO6977OtherSTATE LICENSE NUMBER