Michael P Goldberg in Bangor - Periodontics

Michael P Goldberg - NPI 1649214859

Michael P Goldberg is a Periodontics in Bangor, Maine. Michael P Goldberg practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Michael P Goldberg is 1649214859. The last update date is 2007-07-08.

Michael P Goldberg's current location address is 700 Mount Hope Ave, Bangor, Maine. You can contact this provider via phone number 2079416700 and fax number 2079902539. The mailing address for Michael P Goldberg is 700 Mount Hope Ave, Bangor, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael P Goldberg
Address 700 Mount Hope Ave, Bangor, Maine
Phone Number 2079416700
Fax Number 2079902539
Sole Proprietor X
Credentials D.M.D.

NPI Number Detail

NPI Number 1649214859
Provider Enumeration Date 2006-06-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 700 Mount Hope Ave
City Bangor
State Maine (ME)
Post Code 44015691
Phone Number 2079416700
Fax Number 2079902539

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 3348
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Michael P Goldberg

What is the unique provider identifier assigned to Michael P Goldberg?

The Michael P Goldberg has been issued the NPI (National Provider Identifier) 1649214859 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Michael P Goldberg's facilities are situated?

The facilities of Michael P Goldberg are physically located at the following address: 700 Mount Hope Ave, Bangor, ME, 44015691.

What is Michael P Goldberg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michael P Goldberg is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.

On what date did the Michael P Goldberg receive its 1649214859 assignment from the Centers for Medicare & Medicaid Services?

The Michael P Goldberg was assigned its 1649214859 by the Centers for Medicare & Medicaid Services on 2006-06-16.

When was the information related to Michael P Goldberg most recently updated or refreshed?

The details pertaining to the Michael P Goldberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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