Provider Demographics
NPI:1821223306
Name:TOMASIK, JOSHUA (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:TOMASIK
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 1:12400 W HWY 71
Mailing Address - Street 2:SUITE 320
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-6517
Mailing Address - Country:US
Mailing Address - Phone:512-402-1818
Mailing Address - Fax:512-402-1473
Practice Address - Street 1:12400 W HWY 71
Practice Address - Street 2:SUITE 320
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-6517
Practice Address - Country:US
Practice Address - Phone:512-402-1818
Practice Address - Fax:512-402-1473
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX245731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice