Whalio Doctors

NPI 1003085036

Joshua Ethan Gish, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Selden, NY

Practice location

Address
260 Middle Country Road Bldg 2, Suite 12, Selden, NY 11784
Phone
(631) 696-9752
Fax
(631) 696-5096

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 053598 (NY)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 053598-1 (NY)

Registry record

NPI
1003085036
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Feb 2008
Record last updated
11 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.