Provider Demographics
NPI:1932311719
Name:JOSHUA S. HONG, DDS, PLLC
Entity Type:Organization
Organization Name:JOSHUA S. HONG, DDS, PLLC
Other - Org Name:A GLOWING SMILE DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:623-486-5566
Mailing Address - Street 1:8520 W PEORIA AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-6400
Mailing Address - Country:US
Mailing Address - Phone:623-486-5566
Mailing Address - Fax:
Practice Address - Street 1:8520 W PEORIA AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-6400
Practice Address - Country:US
Practice Address - Phone:623-486-5566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD56831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty