MEDICARE: DR. JOSHUA LEE JAFFE D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN22908	FL

General Provider Information

NPI Number	:	1457883084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA LEE JAFFE D.D.S.

Provider Business Mailing Address
First Line	:	3990 SHERIDAN ST STE 216
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3656
Country	:	US
Telephone Number	:	954-983-9004
Fax Number	:

Provider Business Practice Location Address
First Line	:	3990 SHERIDAN ST STE 216
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3656
Country	:	US
Telephone Number	:	954-983-9004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2017
Last Update Date	:	01/31/2026

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