Provider Demographics
NPI:1417108002
Name:FROERER, JOSHUA JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:JAMES
Last Name:FROERER
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 1:500 PRIMROSE RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3907
Mailing Address - Country:US
Mailing Address - Phone:650-343-1104
Mailing Address - Fax:650-343-0772
Practice Address - Street 1:500 PRIMROSE RD
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3907
Practice Address - Country:US
Practice Address - Phone:650-343-1104
Practice Address - Fax:650-343-0772
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA546441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice