Provider Demographics
NPI:1114289162
Name:FURNISS, JOSHUA K (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:K
Last Name:FURNISS
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 1:1000 TITUS ST
Mailing Address - Street 2:
Mailing Address - City:GILMER
Mailing Address - State:TX
Mailing Address - Zip Code:75644-3514
Mailing Address - Country:US
Mailing Address - Phone:903-399-4000
Mailing Address - Fax:
Practice Address - Street 1:1000 TITUS ST
Practice Address - Street 2:
Practice Address - City:GILMER
Practice Address - State:TX
Practice Address - Zip Code:75644-3514
Practice Address - Country:US
Practice Address - Phone:903-399-4000
Practice Address - Fax:903-843-4537
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX307841223G0001X
IDD-44331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice