Provider Demographics
NPI:1043331549
Name:ARMSTRONG, JOAN LURA (DDS)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:LURA
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-2201
Mailing Address - Country:US
Mailing Address - Phone:315-422-3307
Mailing Address - Fax:
Practice Address - Street 1:437 ALLEN ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2201
Practice Address - Country:US
Practice Address - Phone:315-422-3307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY405781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice