National Provider Identifier
Jeffrey I Goldberg DDS PLLC
Jeffrey I Goldberg DDS PLLC is listed in the NPPES registry with a primary specialty of Dental Clinic/Center in Rochester, NY and a listed phone number of (716) 636-2222.
Profile Overview
- NPI
- 1306313150
- Provider Type
- Organization
- Primary Specialty
- Dental Clinic/Center
- Enumeration Date
- October 30, 2018
- Last Updated
- October 30, 2018
Practice Location
- 1655 Elmwood Ave Ste 100
- Rochester, NY 14620-3426
Phone: (716) 636-2222
Mailing Address
- 3980 Sheridan Dr Ste 401
- Amherst, NY 14226-1727
Specialties
- Dental Clinic/Center (261QD0000X)
Full Record
- NPI
- 1306313150
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Jeffrey I Goldberg DDS PLLC
- Mailing Street Address
- 3980 Sheridan Dr Ste 401
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-1727
- Mailing Country
- US
- Mailing Phone
- (716) 636-2222
- Mailing Fax
- (716) 636-2252
- Practice Street Address
- 1655 Elmwood Ave Ste 100
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3426
- Practice Country
- US
- Practice Phone
- (716) 636-2222
- Practice Fax
- (716) 636-2252
- Enumeration Date
- October 30, 2018
- Last Updated
- October 30, 2018
- Authorized Official Last Name
- Goldberg
- Authorized Official First Name
- Jeffrey
- Authorized Official Middle Name
- I
- Authorized Official Title
- Owner
- Authorized Official Phone
- (716) 636-2222
- Organization Subpart
- Yes
- Parent Organization Name
- JEFFREY I GOLDBERG DDS PLLC
- Parent Organization TIN
- <UNAVAIL>
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- DDS
- Taxonomies
- Dental Clinic/Center (261QD0000X)