Provider Demographics
NPI:1477916435
Name:MCCLANAHAN, JOSHUA ASHMORE (DMD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ASHMORE
Last Name:MCCLANAHAN
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 1:603 WHISPERING PINES LN
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-7528
Mailing Address - Country:US
Mailing Address - Phone:256-710-5271
Mailing Address - Fax:
Practice Address - Street 1:1490 N BANK PKWY STE 130
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2431
Practice Address - Country:US
Practice Address - Phone:205-349-4716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6316 C11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice