Provider Demographics
NPI:1780176313
Name:CLARKMAN, JOSHUA T (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:T
Last Name:CLARKMAN
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 1:2201 JAMES ST STE A
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4155
Mailing Address - Country:US
Mailing Address - Phone:360-734-7055
Mailing Address - Fax:
Practice Address - Street 1:2201 JAMES ST STE A
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4155
Practice Address - Country:US
Practice Address - Phone:360-734-7055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-30
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPENDING1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice