Goldey, Jack William

Goldey, Jack William is an individual health care provider with primary practice located at 3943 S Nova Rd , Port Orange FL 32127-4910. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Goldey, Jack William can be contacted via phone (386) 761-9440.

Contact Information

Primary practice address
3943 S Nova Rd Port Orange FL 32127-4910
Phone: (386) 761-9440
Fax: (386) 788-6992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7265 Florida

Profile Details

NPI number 1215141353
LBN Legal business name Goldey, Jack William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 19 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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