Provider Demographics
NPI:1285922401
Name:JOSHUA HERZLINGER DDS PLLC
Entity type:Organization
Organization Name:JOSHUA HERZLINGER DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERZLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:518-654-0901
Mailing Address - Street 1:400 PALMER AVE
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:NY
Mailing Address - Zip Code:12822-1218
Mailing Address - Country:US
Mailing Address - Phone:518-654-9891
Mailing Address - Fax:518-654-9891
Practice Address - Street 1:400 PALMER AVE
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:NY
Practice Address - Zip Code:12822-1218
Practice Address - Country:US
Practice Address - Phone:518-654-9891
Practice Address - Fax:518-654-9891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental