Provider Demographics
NPI:1437364304
Name:JOSHI, NISHANT (DMD)
Entity Type:Individual
Prefix:DR
First Name:NISHANT
Middle Name:
Last Name:JOSHI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3156 ROYAL OAK CT
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-3770
Mailing Address - Country:US
Mailing Address - Phone:216-246-8570
Mailing Address - Fax:330-629-8718
Practice Address - Street 1:3156 ROYAL OAK CT
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-3770
Practice Address - Country:US
Practice Address - Phone:216-246-8570
Practice Address - Fax:330-629-8718
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-13
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30022342122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist