Healthcare Provider Details

I. General information

NPI: 1518112929
Provider Name (Legal Business Name): JOYCE MARIE APPLEGATE R.D.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOYCE MARIE BROWNFIELD R.D.H.

II. Dates (important events)

Enumeration Date: 11/26/2008
Last Update Date: 11/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 SOUTH INDIANA AVENUE
SELLERSBURG IN
47172
US

IV. Provider business mailing address

809 SOUTH INDIANA AVENUE DR. ROGER REYNOLDS
SELLERSBURG IN
47172
US

V. Phone/Fax

Practice location:
  • Phone: 812-246-9033
  • Fax:
Mailing address:
  • Phone: 812-246-9033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number1088
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number13003231
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: