Healthcare Provider Details

I. General information

NPI: 1881247609
Provider Name (Legal Business Name): JOSHUA KRUSHINSKI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2019
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8955 WOOD RD BLDG 14TH
BETHESDA MD
20889-5628
US

IV. Provider business mailing address

1253 MAKALAPA RD
HONOLULU HI
96817
US

V. Phone/Fax

Practice location:
  • Phone: 317-385-9713
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number24449
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: