Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOSHUA ETHAN GISH, D.D.S.
Active Sole ProprietorMR. JOSHUA ETHAN GISH, D.D.S. is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in SELDEN, New York. NPI 1003085036 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · SELDEN, NY
Registration Details
- NPI Number
- 1003085036
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2008 (18.50263292463 yrs)
- Last Updated
- Oct 11, 2012
- Licenses
-
053598-1 (NY)053598 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
260 MIDDLE COUNTRY ROADBLDG 2, SUITE 12SELDEN, NY, 11784Browse NY providers · Browse ZIP 11784
- Phone
- 6316969752
- Fax
- 6316965096
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.