Provider Demographics
NPI:1700406618
Name:JOSHUA M. IGNATOWICZ DMD PC
Entity Type:Organization
Organization Name:JOSHUA M. IGNATOWICZ DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:M
Authorized Official - Last Name:IGNATOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-432-9100
Mailing Address - Street 1:1070 W HORIZON RIDGE PKWY STE 121
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-6019
Mailing Address - Country:US
Mailing Address - Phone:702-432-9100
Mailing Address - Fax:
Practice Address - Street 1:1070 W HORIZON RIDGE PKWY STE 121
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-6019
Practice Address - Country:US
Practice Address - Phone:702-432-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty