Provider Demographics
NPI:1679274104
Name:NEUMAN, JOSHUA GRANT (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:GRANT
Last Name:NEUMAN
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 1:113 RODEO WAY
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-3978
Mailing Address - Country:US
Mailing Address - Phone:210-495-2000
Mailing Address - Fax:
Practice Address - Street 1:113 RODEO WAY
Practice Address - Street 2:
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108-3978
Practice Address - Country:US
Practice Address - Phone:210-495-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX394921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice