Provider Demographics
NPI:1255784633
Name:ORGILL, JOSHUA J (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:J
Last Name:ORGILL
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 1:1600 SW ARCHER RD # D11-6
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0426
Mailing Address - Country:US
Mailing Address - Phone:352-273-7631
Mailing Address - Fax:352-273-6765
Practice Address - Street 1:1600 SW ARCHER RD # D11-6
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0426
Practice Address - Country:US
Practice Address - Phone:352-273-7631
Practice Address - Fax:352-273-6765
Is Sole Proprietor?:No
Enumeration Date:2016-07-20
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA30466122300000X
FLDRPM23251223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist