Healthcare Provider Details

I. General information

NPI: 1730182593
Provider Name (Legal Business Name): JOSEPH M DEMENT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 01/26/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 VICTORIA RD
ASHEVILLE NC
28801-4811
US

IV. Provider business mailing address

111 VICTORIA RD
ASHEVILLE NC
28801-4811
US

V. Phone/Fax

Practice location:
  • Phone: 828-252-7331
  • Fax: 828-253-1123
Mailing address:
  • Phone: 828-252-7331
  • Fax: 828-253-1123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number32684
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: