Provider Demographics
NPI:1023189107
Name:TROWBRIDGE, JOSEPH PAUL (DDS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:PAUL
Last Name:TROWBRIDGE
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 1:30 7TH ST E
Mailing Address - Street 2:SUITE101
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101-4914
Mailing Address - Country:US
Mailing Address - Phone:651-227-6646
Mailing Address - Fax:651-227-6523
Practice Address - Street 1:30 7TH ST E
Practice Address - Street 2:SUITE101
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-4914
Practice Address - Country:US
Practice Address - Phone:651-227-6646
Practice Address - Fax:651-227-6523
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN120701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice