Goldberg, Avery Dean
Goldberg, Avery Dean is an individual health care provider with primary practice located at 2045 Lee Rd , Winter Park FL 32789-1836. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Goldberg, Avery Dean can be contacted via phone (407) 629-4444.Contact Information
Primary practice address
2045 Lee Rd
Winter Park FL 32789-1836
Phone: (407) 629-4444
Fax: (407) 629-9078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN19202 | Florida |
Profile Details
| NPI number | 1619178852 |
|---|---|
| LBN Legal business name | Goldberg, Avery Dean |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | May 22nd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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