Howard Goldberg, D.D.S, P.a

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN17736 Issued in FL

Legal business name

HOWARD GOLDBERG, D.D.S, P.A

Practice address

9825 W Sample Rd Ste 100
Coral Springs, FL 33065-4040

Phone

(954) 752-7220

Fax

(954) 752-5561

NPI assigned

Nov 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Howard Goldberg, D.M.D

Title

President

Phone

(954) 752-7220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1619156064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 W SAMPLE RD STE 100",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654040",
            "telephone_number": "954-752-7220",
            "fax_number": "954-752-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 W SAMPLE RD STE 100",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654040",
            "telephone_number": "954-752-7220",
            "fax_number": "954-752-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD GOLDBERG, D.D.S, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-752-7220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN17736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.