Provider Demographics
NPI:1891709408
Name:JOSHI, BHUSHAN S (DMD)
Entity Type:Individual
Prefix:DR
First Name:BHUSHAN
Middle Name:S
Last Name:JOSHI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 DANBURY RD
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-7918
Mailing Address - Country:US
Mailing Address - Phone:732-922-1861
Mailing Address - Fax:
Practice Address - Street 1:970 ROUTE 70 WEST
Practice Address - Street 2:JAMES J. HOWARD OUTPATIENT CLINIC
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724
Practice Address - Country:US
Practice Address - Phone:732-206-8900
Practice Address - Fax:732-836-6018
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI012146001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice