Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | DEN03530 | RI |
N | 122300000X | Dentist | DN1858888 | MA |
Y | 1223E0200X | Endodontist | 12243 | NC |
N | 1223E0200X | Endodontist | 2901600768 | MI |
NPI | 1144779703 |
---|---|
Provider Name | Dr. Joyce B Munn |
First Address | Charlotte, NC 28203-6727 |
Second Address | Mooresville, NC 28117-5604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2016 |
Last Update Date | 14/07/2021 |