Provider Demographics
NPI:1962589044
Name:XIA, JOYCE (DDS)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:
Last Name:XIA
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 1:46090 LAKE CENTER PLZ
Mailing Address - Street 2:#105
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5876
Mailing Address - Country:US
Mailing Address - Phone:703-444-9888
Mailing Address - Fax:703-444-7888
Practice Address - Street 1:46090 LAKE CENTER PLZ
Practice Address - Street 2:#105
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-5876
Practice Address - Country:US
Practice Address - Phone:703-444-9888
Practice Address - Fax:703-444-7888
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010080011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice