Provider Demographics
NPI:1073039558
Name:JOSEPH FLECHAS DDS PLLC
Entity Type:Organization
Organization Name:JOSEPH FLECHAS DDS PLLC
Other - Org Name:TOWNSEND DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:FLECHAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-503-5266
Mailing Address - Street 1:52 SAGE BLOOM CT UNIT C
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-8442
Mailing Address - Country:US
Mailing Address - Phone:909-503-5266
Mailing Address - Fax:
Practice Address - Street 1:422 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:MT
Practice Address - Zip Code:59644-2322
Practice Address - Country:US
Practice Address - Phone:909-503-5266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-16
Last Update Date:2017-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT40641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty