Provider Demographics
NPI:1053651901
Name:JOSHUA R TONEY DDS PA
Entity Type:Organization
Organization Name:JOSHUA R TONEY DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:R
Authorized Official - Last Name:TONEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:870-763-1000
Mailing Address - Street 1:519 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BLYTHEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72315-3333
Mailing Address - Country:US
Mailing Address - Phone:870-763-1000
Mailing Address - Fax:870-763-1110
Practice Address - Street 1:519 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BLYTHEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72315-3333
Practice Address - Country:US
Practice Address - Phone:870-763-1000
Practice Address - Fax:870-763-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty