Gravelle, Joshua Thomas

Gravelle, Joshua Thomas is an individual health care provider with primary practice located at 327 N Cedar Ave , Cookeville TN 38501-2420. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gravelle, Joshua Thomas can be contacted via phone (931) 528-5105.

Contact Information

Primary practice address
327 N Cedar Ave Cookeville TN 38501-2420
Phone: (931) 528-5105
Fax: (931) 528-5118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9490 Tennessee

Profile Details

NPI number 1659634475
LBN Legal business name Gravelle, Joshua Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2012
Last updated Jun 24th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659634475 NPPES
Tennessee MEDICAID 1531415

Popular Providers