Mark Goldstein in Philadelphia - Pediatric Dentistry
Mark Goldstein - NPI 1144214511
Mark Goldstein is a Pediatric Dentistry in Philadelphia, Pennsylvania. Mark Goldstein practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Mark Goldstein is 1144214511. The last update date is 2007-07-08.
Mark Goldstein's current location address is 6404 Roosevelt Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157433700 and fax number 2157433706. The mailing address for Mark Goldstein is 6404 Roosevelt Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Goldstein |
|---|---|
| Address | 6404 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Phone Number | 2157433700 |
| Fax Number | 2157433706 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1144214511 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6404 Roosevelt Blvd |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191492943 |
| Phone Number | 2157433700 |
| Fax Number | 2157433706 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DS18048L |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 529928 | PA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mark Goldstein by the Centers for Medicare & Medicaid Services?
The Mark Goldstein has been issued the NPI (National Provider Identifier) 1144214511. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark Goldstein's physical address?
The Mark Goldstein is physically located at 6404 Roosevelt Blvd, in the city of Philadelphia, PA, with the postal code 191492943.
What is Mark Goldstein's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Goldstein is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
When did Mark Goldstein receive its 1144214511 assignment?
The Mark Goldstein was assigned its 1144214511 on 2005-08-31, which is the date when this unique identifier was issued to the organization.
When was the Mark Goldstein's information last updated?
The Mark Goldstein's information was last updated on 2007-07-08.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX