Mondlick, Joshua A

Mondlick, Joshua A is an sole proprietor health care provider with primary practice located at 8671 W Union Hills Dr Suite 501, Peoria AZ 85382-7005. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Mondlick, Joshua A can be contacted via phone (623) 583-3960.

Contact Information

Primary practice address
8671 W Union Hills Dr Suite 501 Peoria AZ 85382-7005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019-026230 Illinois
Dental Providers / Periodontics 1223P0300X D6260 Arizona
Dental Providers / Periodontics 1223P0300X 053711-1 New York
Dental Providers / Periodontics 1223P0300X 28440 Texas

Profile Details

NPI number 1790746311
LBN Legal business name Mondlick, Joshua A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Apr 5th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790746311 NPPES
Arizona MEDICAID 877657

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