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MAURICE GOLBERG ALAN MINTZ LARRY DOVER DDS PC NPI 1649323031


NPI Information

NPI: 1649323031
Provider Name: MAURICE GOLBERG, ALAN MINTZ, LARRY DOVER DDS, PC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
119 W 57TH ST
SUITE 415
NEW YORK, NY
ZIP 10019
Phone: (212) 757-1457
Get Directions

MAURICE GOLBERG, ALAN MINTZ, LARRY DOVER DDS, PC is a periodontics dentist in New York, NY. The provider is 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 structures and tissues. MAURICE GOLBERG, ALAN MINTZ, LARRY DOVER DDS, PC NPI is 1649323031. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

119 W 57TH ST
SUITE 415
NEW YORK, NY
ZIP 10019-303
Phone: (212) 757-1457
Fax: (212) 757-9209

The provider's authorized official is Larry Dober .
The authorized official title is Dr and has the following contact phone number (212) 757-1457.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 6/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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