MEDICARE: DR. JEET JOSHI

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	122300000X	Dentist	35350	TX

General Provider Information

NPI Number	:	1437710290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEET JOSHI

Provider Business Mailing Address
First Line	:	2500 S MILLBEND DR APT 1201
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-1853
Country	:	US
Telephone Number	:	352-281-8575
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 W MONTGOMERY ST STE B
Second Line	:
City	:	WILLIS
State	:	TX
Zip	:	77378-8827
Country	:	US
Telephone Number	:	352-281-8575
Fax Number	:

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

Provider Enumeration Date	:	06/24/2019
Last Update Date	:	06/24/2019

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Directions to “ DR. JEET JOSHI ” Practice Location

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