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Dr. Stephanie D Joly, DDS
General Practice Dentistry in Portage, Indiana
NPI 1760630610

Stephanie D Joly is a General Practice Dentistry based in Portage, IN and is specialized in General Practice. Stephanie D Joly practices in Portage, IN and has the professional credentials of DDS. The NPI Number for Stephanie D Joly is 1760630610 and holds a License No. 019.027751 (Indiana).

The current practice location address for Stephanie D Joly is 2646 Lois St, Portage, IN and can be reached out via phone at 219-762-4266 and via fax at 219-762-2252.

Location: 2646 Lois St, Portage, IN, 46368-3500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760630610
Provider Name
Stephanie D Joly
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2646 Lois St, Portage, IN, 46368-3500
Phone Number
219-762-4266
Fax Number
219-762-2252
Provider Enumeration Date
09/04/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2646 Lois St
City
Portage
State
Indiana
Zip
46368-3500
Phone Number
219-762-4266
Fax Number
219-762-2252
person
Provider Business Mailing Address Details
Address
2646 Lois St
City
Portage
State
Indiana
Zip
46368-3500
Phone Number
219-762-4266
Fax Number
219-762-2252
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019.027751 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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