Provider Demographics
NPI:1154641199
Name:JOSHUA D. BELOF, DMD PLLC
Entity Type:Organization
Organization Name:JOSHUA D. BELOF, DMD PLLC
Other - Org Name:SOUTH BAY FAMILY AND COSMETIC DENTISTRY, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BELOF
Authorized Official - Suffix:
Authorized Official - Credentials:DND
Authorized Official - Phone:828-634-7900
Mailing Address - Street 1:1298 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-2678
Mailing Address - Country:US
Mailing Address - Phone:828-634-7900
Mailing Address - Fax:
Practice Address - Street 1:1298 E MAIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-2678
Practice Address - Country:US
Practice Address - Phone:828-634-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-01
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17912261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental