Provider Demographics
NPI:1831551472
Name:DEUEL, JOSHUA ALLEN (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ALLEN
Last Name:DEUEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:955 W EISENHOWER CIR STE G
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-5868
Mailing Address - Country:US
Mailing Address - Phone:734-418-0800
Mailing Address - Fax:734-418-0802
Practice Address - Street 1:955 W EISENHOWER CIR STE G
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-5868
Practice Address - Country:US
Practice Address - Phone:734-418-0800
Practice Address - Fax:734-418-0802
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901600419204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery