Golden Dental Excellence

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GOLDEN DENTAL EXCELLENCE

Practice address

7280 State Road 54
New Port Richey, FL 34653

Phone

(727) 376-3763

Fax

(727) 376-4073

NPI assigned

Nov 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tracey J Wilke

Title

Financial Coordinator

Phone

(727) 376-3763

Specialties & licenses 1

Addresses

Other names 1

• Prestige Dentistry Former legal business name

Tax ID family

Golden Beil Horwitz2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prestige Dentistry

  • General Practice Dentistry
  • Palm Harbor, FL
  • NPI 1083821219
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215014337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34653",
            "telephone_number": "727-376-3763",
            "fax_number": "727-376-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34653",
            "telephone_number": "727-376-3763",
            "fax_number": "727-376-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN DENTAL EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILKE",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "727-376-3763",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kristine Glover, NP
• Jerry Gluck
• Devon Glynn, FNP-BC
• Kelly Goeden, LCSW
• Abigail Lynn Gogolski
• Stephen Allen Goldman, MD
• Heather Goldner, DNP, FNP-C
• Caroline Goldstein, RN
• Robert L Goluba, DMD
• Gonzalez & Michael Medical Assoc., P.a.

• General Practice Dentistry in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.