Provider Demographics
NPI:1689821985
Name:JOSHUA HONG DDS, PLLC
Entity Type:Organization
Organization Name:JOSHUA HONG DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:623-925-8822
Mailing Address - Street 1:750 NORTH ESTRELLA PARKWAY
Mailing Address - Street 2:SUITE 10
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-9288
Mailing Address - Country:US
Mailing Address - Phone:623-925-8822
Mailing Address - Fax:623-925-1476
Practice Address - Street 1:750 N. ESTRELLA PARKWAY
Practice Address - Street 2:SUITE 10
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-9288
Practice Address - Country:US
Practice Address - Phone:623-925-8822
Practice Address - Fax:623-925-1476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD5683122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty