Individual
DR. ELIZABETH JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MA
Contact information
Practice address
402 GOODRICH AVENUE, KITTERY, ME 03904
(207) 438-1714
Mailing address
402 GOODRICH AVENUE, KITTERY, ME 03904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16401
MD
1223G0001X
General Practice Dentistry
DN10000481
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VAD0000
—
CA
Enumeration date
05/31/2017
Last updated
10/22/2025
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