Hugh Owen Goldston, D.D.S.

Individual provider Active NPI General Practice Dentistry · Borger, TX

NPI 1083758247 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1083758247
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
13745 (TX)
Practice address
301 S McGee St
Borger, TX 79007-4617
Phone
(806) 273-6451
Fax
(806) 273-6456
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
13745TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Goldston Dental Health Center, PLLC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13745 TX Yes

Addresses

Primary practice location

301 S McGee St
Borger, TX 79007-4617

Mailing address

PO Box 68
Borger, TX 79008-0068
Phone (806) 273-6451

Other identifiers

IdentifierTypeStateIssuer
88D679OtherTXBLUECROSS BLUESHIELD
841648OtherUNITED CONCORDIA

Other providers in Borger, TX

All providers in Borger, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.