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Individual
JOSEPH HUMPHRIES
Active
Individual
JOSEPH HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10993
KY
122300000X
Dentist
Primary
12014868A
IN
1223G0001X
General Practice Dentistry
019.034891
IL
1223G0001X
General Practice Dentistry
12645
TN
1223G0001X
General Practice Dentistry
2025017068
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2023
Last updated
09/23/2025
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