Healthcare Provider Details

I. General information

NPI: 1447302369
Provider Name (Legal Business Name): JOSHUA B HASLAM D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3303 S LINDSAY RD STE 120
GILBERT AZ
85297-2100
US

IV. Provider business mailing address

3303 S LINDSAY RD STE 120
GILBERT AZ
85297-2100
US

V. Phone/Fax

Practice location:
  • Phone: 480-586-8022
  • Fax: 480-855-7889
Mailing address:
  • Phone: 480-586-8022
  • Fax: 480-855-7889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD6991
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number6991
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: