Provider Demographics
NPI:1699936583
Name:GADDIS, JOSHUA W (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:W
Last Name:GADDIS
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 NEW ENGLAND HILL RD
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OH
Mailing Address - Zip Code:43782-9736
Mailing Address - Country:US
Mailing Address - Phone:740-684-0302
Mailing Address - Fax:
Practice Address - Street 1:104 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:OH
Practice Address - Zip Code:43105-1426
Practice Address - Country:US
Practice Address - Phone:740-500-4746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0227811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice