Provider Demographics
NPI:1982349668
Name:JOSHUA M MORALES, DDS, PLLC
Entity Type:Organization
Organization Name:JOSHUA M MORALES, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:936-276-6133
Mailing Address - Street 1:208 N CASCADE HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-2874
Mailing Address - Country:US
Mailing Address - Phone:936-276-6133
Mailing Address - Fax:936-276-6144
Practice Address - Street 1:728 FISH CREEK THOROUGHFARE
Practice Address - Street 2:SUITE B
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316-7731
Practice Address - Country:US
Practice Address - Phone:936-276-6133
Practice Address - Fax:936-276-6144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty