MEDICARE: JOY EAKINS DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN21515	FL

General Provider Information

NPI Number	:	1194101865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY EAKINS DMD

Provider Business Mailing Address
First Line	:	721 US HIGHWAY 1 STE 106
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4519
Country	:	US
Telephone Number	:	360-708-7790
Fax Number	:

Provider Business Practice Location Address
First Line	:	721 US HIGHWAY 1 STE 106
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-4519
Country	:	US
Telephone Number	:	561-855-4703
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2015
Last Update Date	:	02/28/2023

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