Provider Demographics
NPI:1861698516
Name:FLEMING, JOSEPH GRAY (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:GRAY
Last Name:FLEMING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3715 PRINCE WILLIAM DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-3863
Mailing Address - Country:US
Mailing Address - Phone:703-591-7713
Mailing Address - Fax:
Practice Address - Street 1:JOSEPH G. FLEMING, DDS
Practice Address - Street 2:1712 I ST N.W. 900
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006
Practice Address - Country:US
Practice Address - Phone:202-296-8020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC2264122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist