Kenneth M Goldberg in Santa Maria - Oral And Maxillofacial Surgery
Kenneth M Goldberg - NPI 1326036120
Kenneth M Goldberg is a Oral And Maxillofacial Surgery in Santa Maria, California. Kenneth M Goldberg practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Kenneth M Goldberg is 1326036120. The last update date is 2021-07-30.
Kenneth M Goldberg's current location address is 201 N College Drive, Santa Maria, California. You can contact this provider via phone number 8059287611 and fax number 8053498551. The mailing address for Kenneth M Goldberg is 201 N College Drive, Santa Maria, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth M Goldberg |
|---|---|
| Address | 201 N College Drive, Santa Maria, California |
| Phone Number | 8059287611 |
| Fax Number | 8053498551 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1326036120 |
|---|---|
| Provider Enumeration Date | 2005-10-06 |
| Last Updated Date | 2021-07-30 |
Provider Mailing Address Detail
| Address | 201 N College Drive |
|---|---|
| City | Santa Maria |
| State | California (CA) |
| Post Code | 93454 |
| Phone Number | 8059287611 |
| Fax Number | 8053498551 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DI018568 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7056508 | NJ | -- |
Post Comment/ Review Below
What is Kenneth M Goldberg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth M Goldberg is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
On what date was the 1326036120 assigned to Kenneth M Goldberg?
The Kenneth M Goldberg was issued its 1326036120 on 2005-10-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Kenneth M Goldberg receive the assignment of its 1326036120 from the Centers for Medicare & Medicaid Services?
The Kenneth M Goldberg was issued its 1326036120 by the Centers for Medicare & Medicaid Services on 2005-10-06.
When was the information regarding Kenneth M Goldberg most recently updated?
The details pertaining to the Kenneth M Goldberg, including its address, specialty, and other relevant information, were last refreshed on 2021-07-30.
As of what date was the information pertaining to Kenneth M Goldberg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth M Goldberg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-07-30.
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