Provider Demographics
NPI:1366762130
Name:EREKSON, JOSHUA MATTHIAS (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:MATTHIAS
Last Name:EREKSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 N LAST CHANCE GULCH
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4159
Mailing Address - Country:US
Mailing Address - Phone:719-252-0800
Mailing Address - Fax:
Practice Address - Street 1:121 N LAST CHANCE GULCH
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4159
Practice Address - Country:US
Practice Address - Phone:406-442-5930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10186122300000X
MT78821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist