Provider Demographics
NPI:1902933427
Name:JOSHI, HEMANT N (DDS)
Entity Type:Individual
Prefix:DR
First Name:HEMANT
Middle Name:N
Last Name:JOSHI
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 1:285 W ARTESIA ST
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91768-1808
Mailing Address - Country:US
Mailing Address - Phone:909-622-2150
Mailing Address - Fax:
Practice Address - Street 1:285 W ARTESIA ST
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91768-1808
Practice Address - Country:US
Practice Address - Phone:909-622-2150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA372411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB37241Medicaid