Provider Demographics
NPI:1598257438
Name:JOSEPH, LATOYA (DMD)
Entity type:Individual
Prefix:DR
First Name:LATOYA
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:LATOYA
Other - Middle Name:
Other - Last Name:LUKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7766 BAY ST
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-3427
Mailing Address - Country:US
Mailing Address - Phone:772-228-8682
Mailing Address - Fax:
Practice Address - Street 1:7766 BAY ST
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958
Practice Address - Country:US
Practice Address - Phone:772-228-8682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN23422122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist