Provider Demographics
NPI:1437710290
Name:JOSHI, JEET
Entity Type:Individual
Prefix:DR
First Name:JEET
Middle Name:
Last Name:JOSHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 S MILLBEND DR APT 1201
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1853
Mailing Address - Country:US
Mailing Address - Phone:352-281-8575
Mailing Address - Fax:
Practice Address - Street 1:500 W MONTGOMERY ST STE B
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77378-8827
Practice Address - Country:US
Practice Address - Phone:352-281-8575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35350122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist