Provider Demographics
NPI:1023043734
Name:CHRISTMAN, JOSHUA ALLEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ALLEN
Last Name:CHRISTMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 GRANITE RUN DR STE 180
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6815
Mailing Address - Country:US
Mailing Address - Phone:717-517-8530
Mailing Address - Fax:
Practice Address - Street 1:300 GRANITE RUN DRIVE
Practice Address - Street 2:SUITE 180
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601
Practice Address - Country:US
Practice Address - Phone:717-517-8530
Practice Address - Fax:717-517-8750
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2020-02-28
Deactivation Date:2020-02-25
Deactivation Code:
Reactivation Date:2020-02-28
Provider Licenses
StateLicense IDTaxonomies
VA0401411170122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist