Provider Demographics
NPI:1922182963
Name:O'KEEFFE, JOY K (DMD)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:K
Last Name:O'KEEFFE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:752 WASHINGTON ST
Mailing Address - Street 2:SUITE #15
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359-2311
Mailing Address - Country:US
Mailing Address - Phone:781-826-3500
Mailing Address - Fax:781-826-8727
Practice Address - Street 1:752 WASHINGTON ST
Practice Address - Street 2:SUITE #15
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359-2311
Practice Address - Country:US
Practice Address - Phone:781-826-3500
Practice Address - Fax:781-826-8727
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA155341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice