Provider Demographics
NPI:1801900980
Name:HOLLINGSHEAD, JOSHUA DUKE (DDS)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:DUKE
Last Name:HOLLINGSHEAD
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:BUILDING 9900 2ND FLOOR
Mailing Address - Street 2:US ARMY DENTAL ACTIVITY FORT LEWIS
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-1100
Mailing Address - Country:US
Mailing Address - Phone:253-968-4039
Mailing Address - Fax:253-968-5919
Practice Address - Street 1:BUILDING 9900 2ND FLOOR
Practice Address - Street 2:US ARMY DENTAL ACTIVITY FORT LEWIS
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-1100
Practice Address - Country:US
Practice Address - Phone:253-968-4039
Practice Address - Fax:253-968-5919
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9205122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist