Joseph H Goth III, DMD, MD
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Moon Township, PA
NPI 1194775809 · NPPES record last updated Feb 25, 2019
Key facts
- NPI
- 1194775809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- DS020845L (PA)
- Practice address
- 980 Beaver Grade Rd
Moon Township, PA 15108-2774 - Phone
- (412) 262-5091
- Fax
- (412) 262-1090
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090608000146 | PA | Practitioner - Maxillofacial Surgery | 2163572421 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD033127E | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph Goth LLC | Oral and Maxillofacial Surgery | Current |
Accepting new patients |
| Daniel W. Pituch, DMD, MD, PC | Oral and Maxillofacial Surgery | Past |
Accepting new patients |
| Dattilo and Hall LLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
980 Beaver Grade Rd
Moon Twp, PA 15108
Phone (412) 262-4911
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS020845L | PA | Yes |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | MD033127E | PA |
Addresses
Primary practice location
980 Beaver Grade Rd
Moon Township, PA 15108-2774
Mailing address
980 Beaver Grade Rd
Moon Township, PA 15108-2774
Phone (412) 262-5091
Other providers in Moon Township, PA
- Joseph E Gatial III
- Reid Clayton Getic
- Giant Eagle Inc
- Global Ophthalmology Under-Z
- Alexander Gompers
- Greater Pittsburgh Orthopaedic Associates Inc
- Grounding Tree Therapy
- Sari Shea Hall
- Sean Healey
- Courtney Lynn Heberling
All providers in Moon Township, PA · Oral and Maxillofacial Surgery (Dentist) in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.