Goldman & Packman

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

4467 Issued in MD

Legal business name

GOLDMAN & PACKMAN

Practice address

7600 Ritchie Hwy
Glen Burnie, MD 21061-3718

Phone

(410) 761-3335

Fax

(410) 761-3362

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen A Goldman, D.D.S.NPI 1417087008

Title

Partner

Phone

(410) 761-3335

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen A. Goldman, D.D.S.

  • Periodontics
  • Glen Burnie, MD
  • NPI 1417087008
  NPD (past) Authorized official
• Harold Packman, D.M.D.

  • Periodontics
  • Glen Burnie, MD
  • NPI 1669502266
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255461760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 DAIRY RD",
            "city": "PARKTON",
            "state": "MD",
            "postal_code": "211209505",
            "telephone_number": "410-329-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 RITCHIE HWY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613718",
            "telephone_number": "410-761-3335",
            "fax_number": "410-761-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDMAN & PACKMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "410-761-3335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "4467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Kidz Dental LLC
• Gold Shield Medical Services LLC
• Marjorie Lynne Gold
• Tyler Goldberg
• Andrew Robert Goldberger, CRNP
• Stephen A. Goldman, D.D.S.
• Joseph Anthony Goldschmidt, PHARM.D.
• Luis Emilio Gomez Sr., M.D.
• Timisha Ruebina Gomez, WHNP-BC
• Nayeli Gonzalez Flores

• Periodontics in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Periodontics in Maryland

• 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.