Provider Demographics
NPI:1861385569
Name:JOY GERASCO PHD DMD MS PLLC
Entity type:Organization
Organization Name:JOY GERASCO PHD DMD MS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOY
Authorized Official - Middle Name:E
Authorized Official - Last Name:GERASCO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD DMD MS
Authorized Official - Phone:614-726-0029
Mailing Address - Street 1:513 GERMAINE ST
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-2482
Mailing Address - Country:US
Mailing Address - Phone:614-726-0029
Mailing Address - Fax:
Practice Address - Street 1:664 VETERANS PKWY STE 100
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-5803
Practice Address - Country:US
Practice Address - Phone:919-359-1904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty