Active NPI
Joshua a. Dubose, D.M.D., P.C.
- Dental Clinic/Center
- Monroe, GA
National Provider Identifier
1720391402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- JOSHUA A. DUBOSE, D.M.D., P.C.
- Practice address
- 416 E Spring St
Monroe, GA 30655-2350 - Phone
- (770) 267-6822
- Fax
- (770) 267-0928
- NPI assigned
- Jul 22, 2010
- Last updated
- Jul 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joshua A. Dubose, D.M.D.
- Title
- Ceo
- Phone
- (770) 267-6822
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
416 E Spring St
Monroe, GA 30655-2350
Mailing address
PO Box 1214
Monroe, GA 30655-1214
Phone (770) 267-6822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 716288876B | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Monroe, GA
- NPI 1184773053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279756800000",
"number": "1720391402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1214",
"city": "MONROE",
"state": "GA",
"postal_code": "306551214",
"telephone_number": "770-267-6822",
"fax_number": "770-267-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 E SPRING ST",
"city": "MONROE",
"state": "GA",
"postal_code": "306552350",
"telephone_number": "770-267-6822",
"fax_number": "770-267-0928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSHUA A. DUBOSE, D.M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-22",
"last_updated": "2010-07-22",
"status": "A",
"authorized_official_last_name": "DUBOSE",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-267-6822",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "716288876B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.