Provider Demographics
NPI:1558488395
Name:JOSHI DENTAL, LLC
Entity Type:Organization
Organization Name:JOSHI DENTAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIMISH
Authorized Official - Middle Name:BHARAT
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-377-0218
Mailing Address - Street 1:40 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-2641
Mailing Address - Country:US
Mailing Address - Phone:973-377-0218
Mailing Address - Fax:
Practice Address - Street 1:40 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-2641
Practice Address - Country:US
Practice Address - Phone:973-377-0218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI019549001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty