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
Phone: (623) 583-3960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790746311 | NPPES |
| Arizona | MEDICAID | 877657 |
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