David Adam Goldwyn in Portland - Periodontics
David Adam Goldwyn - NPI 1962496315
David Adam Goldwyn is a Periodontics in Portland, Oregon. David Adam Goldwyn practices all healthcare services and medical treatments related to Periodontics. The NPI Number for David Adam Goldwyn is 1962496315. The last update date is 2007-07-08.
David Adam Goldwyn's current location address is 2350 Sw Multnomah Blvd, Portland, Oregon. You can contact this provider via phone number 5032450180 and fax number 5034523634. The mailing address for David Adam Goldwyn is 2350 Sw Multnomah Blvd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Adam Goldwyn |
|---|---|
| Address | 2350 Sw Multnomah Blvd, Portland, Oregon |
| Phone Number | 5032450180 |
| Fax Number | 5034523634 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1962496315 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2350 Sw Multnomah Blvd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972193999 |
| Phone Number | 5032450180 |
| Fax Number | 5034523634 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | D8010 |
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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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What is the David Adam Goldwyn's 1962496315?
The David Adam Goldwyn's NPI (National Provider Identifier) Number is 1962496315. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of David Adam Goldwyn?
The David Adam Goldwyn is situated at 2350 Sw Multnomah Blvd, in the city of Portland, state of OR, with the zip code 972193999.
What is the David Adam Goldwyn's specialty and taxonomy code?
The David Adam Goldwyn's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did David Adam Goldwyn receive its 1962496315 assignment from the Centers for Medicare & Medicaid Services?
The David Adam Goldwyn was assigned its 1962496315 on 2005-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the David Adam Goldwyn's information last updated?
The David Adam Goldwyn's information was last updated on 2007-07-08.
NPI Number: 1962405167
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