MEDICARE: JOSHUA GALE DDS

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1861334526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA GALE DDS

Provider Business Mailing Address
First Line	:	4689 STODDARD DR
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48085-3504
Country	:	US
Telephone Number	:	248-703-1945
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 E BEACH DR
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-3112
Country	:	US
Telephone Number	:	850-785-5502
Fax Number	:

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

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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