Individual
DR. JOSEPH M. MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
115 OAK WOOD DR, BRIDGEWATER, VA 22812-9544
(540) 828-2312
(540) 828-2857
Mailing address
115 OAK WOOD DR, BRIDGEWATER, VA 22812-9544
(540) 828-2312
(540) 828-2857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006019
VA
1223G0001X
General Practice Dentistry
401006019
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401006019
VA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
0401006019
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004-562
PROVIDER ID ANTHEM BC/BS
—
01
—
744585
PROVIDER# UNITED CONCORDI
—
Enumeration date
11/17/2005
Last updated
03/02/2022
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