Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stephanie D Joly, DDS

Individual provider General Practice Dentistry · NPI 1760630610

Dr. Stephanie D Joly, DDS is a General Practice Dentistry in Portage, Indiana. Practices as a sole proprietor. Licensed in Illinois and Indiana.

Licensed in
IL, IN
In the registry since
2008
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2646 Lois St
Portage, IN 46368-3500
Phone: (219) 762-4266
Fax: (219) 762-2252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12011254A (IN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019.027751 (IL)

Record details

NPI number1760630610
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 4, 2008
Last updated in NPPESJanuary 11, 2022
Certification dateJanuary 11, 2022
Mailing address2646 Lois St, Portage, IN 46368-3500

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