Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 8553 | TN |
NPI | 1033328448 |
---|---|
Provider Name | Dr. Joshua Heath Balch |
First Address | Nashville, TN 37203-2516 |
Second Address | Nashville, TN 37203-2516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 19/08/2019 |