Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 7975 | KY |
N | 213EG0000X | General Practice | 7975 | KY |
Y | 1223P0700X | Prosthodontist | 7975 | KY |
NPI | 1154305605 |
---|---|
Provider Name | Dr. Joshua C Treesh |
First Address | Grayson, KY 41143-1014 |
Second Address | Camp Pendleton, CA 92055-5191 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 29/09/2020 |