SearchIndiana1223G0001X

Stephanie Joly, D.D.S

NPI 1760630610 · on the registry since 2008 · sole proprietor

Practice

Address
2646 Lois St
Portage, IN 46368
Phone
(219) 762-4266
Fax
(219) 762-2252
Organisation at this address
Allusion Dental, Inc
Smile Crafters Dental Studio P.C
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223G0001X
Licence states on file
IL, IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana