Healthcare Provider Details

I. General information

NPI: 1679938955
Provider Name (Legal Business Name): JOSHUA ROBERT ESPEJO D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2015
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3955 S DURANGO DR STE B3
LAS VEGAS NV
89147-4152
US

IV. Provider business mailing address

3955 S DURANGO DR STE B3
LAS VEGAS NV
89147-4152
US

V. Phone/Fax

Practice location:
  • Phone: 702-242-6777
  • Fax:
Mailing address:
  • Phone: 702-242-6777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number7166
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number65333
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: