Provider Demographics
NPI:1346228673
Name:PISCHKE, JOSEPH W III (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:W
Last Name:PISCHKE
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:340 EISENHOWER DRIVE
Mailing Address - Street 2:BUILDING 400
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406
Mailing Address - Country:US
Mailing Address - Phone:912-352-1032
Mailing Address - Fax:912-355-0846
Practice Address - Street 1:340 EISENHOWER DRIVE
Practice Address - Street 2:BUILDING 400
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406
Practice Address - Country:US
Practice Address - Phone:912-352-1032
Practice Address - Fax:912-355-0846
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA91911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice