Provider Demographics
NPI:1538671318
Name:JOSHI, AMI (DMD, MPH)
Entity type:Individual
Prefix:
First Name:AMI
Middle Name:
Last Name:JOSHI
Suffix:
Gender:F
Credentials:DMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4511 RUSK AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-3416
Mailing Address - Country:US
Mailing Address - Phone:480-252-0615
Mailing Address - Fax:
Practice Address - Street 1:2505 N FITZHUGH AVE STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-3351
Practice Address - Country:US
Practice Address - Phone:480-252-0615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD009866122300000X
TX33618122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist