Provider Demographics
NPI:1033328448
Name:BALCH, JOSHUA HEATH (DDS, MDS)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:HEATH
Last Name:BALCH
Suffix:
Gender:M
Credentials:DDS, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 W END AVE STE 1100
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2516
Mailing Address - Country:US
Mailing Address - Phone:615-412-1074
Mailing Address - Fax:
Practice Address - Street 1:1801 W END AVE STE 1100
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2516
Practice Address - Country:US
Practice Address - Phone:615-412-1074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN85531223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics