Provider Demographics
NPI:1457049579
Name:FROMEL, JOSH ROBERT (DMD)
Entity Type:Individual
Prefix:
First Name:JOSH
Middle Name:ROBERT
Last Name:FROMEL
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 1:10900 SHADOW WOOD LN
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-8313
Mailing Address - Country:US
Mailing Address - Phone:330-774-4768
Mailing Address - Fax:
Practice Address - Street 1:10900 SHADOW WOOD LN
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-8313
Practice Address - Country:US
Practice Address - Phone:330-774-4768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program