Healthcare Provider Details

I. General information

NPI: 1790361319
Provider Name (Legal Business Name): JOSEPH UHM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9840 CARMEL MOUNTAIN RD
SAN DIEGO CA
92129-2812
US

IV. Provider business mailing address

1103 HAMAL APT 109
IRVINE CA
92618-1429
US

V. Phone/Fax

Practice location:
  • Phone: 858-240-9953
  • Fax:
Mailing address:
  • Phone: 949-617-6747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberD012324
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDDS107129
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: