Individual
STEPHEN W. JOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4824 GOODMAN ROAD, OLIVE BRANCH, MS 38654
(662) 874-5917
(662) 874-5998
Mailing address
4824 GOODMAN RD, OLIVE BRANCH, MS 38654-7950
(662) 874-5917
(662) 847-5998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2019-83
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060134
—
MS
Enumeration date
07/20/2006
Last updated
09/14/2016
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