Provider Demographics
NPI:1336310911
Name:FOREMAN, JOSHUA E (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:E
Last Name:FOREMAN
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 1:2275 WESTPARK CT STE 100
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-3992
Mailing Address - Country:US
Mailing Address - Phone:817-283-1205
Mailing Address - Fax:817-540-4788
Practice Address - Street 1:2275 WESTPARK CT STE 100
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-3992
Practice Address - Country:US
Practice Address - Phone:817-283-1205
Practice Address - Fax:817-540-4788
Is Sole Proprietor?:No
Enumeration Date:2008-03-21
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX239181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice