Individual
JOSHUA ADAM ROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16879 NW 67TH AVE, HIALEAH, FL 33015-4203
(305) 654-9609
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
(718) 920-4321
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN27350
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2021
Last updated
05/21/2025
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