MEDICARE: JOSHUA FOSTER

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	D012804	AZ

General Provider Information

NPI Number	:	1760313829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA FOSTER

Provider Business Mailing Address
First Line	:	784 S HAWK LN
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-0158
Country	:	US
Telephone Number	:	801-300-3548
Fax Number	:

Provider Business Practice Location Address
First Line	:	1928 E MAIN ST
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85203-9024
Country	:	US
Telephone Number	:	480-729-6090
Fax Number	:

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

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ JOSHUA FOSTER ” Practice Location

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