Provider Demographics
NPI:1235623596
Name:PIPER, JOSHUA ROSS (DDS)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ROSS
Last Name:PIPER
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 1:6640 OWL LAKE DR
Mailing Address - Street 2:
Mailing Address - City:FIRESTONE
Mailing Address - State:CO
Mailing Address - Zip Code:80504-5450
Mailing Address - Country:US
Mailing Address - Phone:620-755-2709
Mailing Address - Fax:
Practice Address - Street 1:101 E BISON HWY
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:CO
Practice Address - Zip Code:80642-5028
Practice Address - Country:US
Practice Address - Phone:720-666-4628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00203614122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist