# JOSHUA COUSSA, D.M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IDEAL DENTAL OF CORAL SPRINGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437712999
- **Authorized official:** JOSHUA COUSSA DMD (OWNER)
- **Authorized official phone:** (972) 331-8079

## Contact information

- **Practice address:** 4604 N UNIVERSITY DR, CORAL SPRINGS, FL 33067-4628
- **Practice address phone:** (954) 753-6100
- **Practice address fax:** (954) 686-0912
- **Mailing address:** PO BOX 840925, DALLAS, TX 75284-0925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2019
- **Last updated:** 10/02/2023