Provider Demographics
NPI:1851440762
Name:ESSELMAN, JOEL JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:JOSEPH
Last Name:ESSELMAN
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 1:3012 GLENMORE AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-2269
Mailing Address - Country:US
Mailing Address - Phone:513-661-1227
Mailing Address - Fax:513-661-1228
Practice Address - Street 1:3012 GLENMORE AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-2269
Practice Address - Country:US
Practice Address - Phone:513-661-1227
Practice Address - Fax:513-661-1228
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0147351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice