Gary S. Goldstein, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11308 Issued in MA

Legal business name

GARY S. GOLDSTEIN, DMD, PC

Doing business as

Charles River Dental Associates

Practice address

50 Staniford St
Suite 303
Boston, MA 02114-2517

Phone

(617) 523-4555

Fax

(617) 227-2767

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Terese R. Peters, B.S.

Title

Practice Manager

Phone

(617) 523-4555

Specialties & licenses 1

Addresses

Other names 1

• Charles River Dental Associates Doing business as

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1629277694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST",
            "address_2": "SUITE 303",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142517",
            "telephone_number": "617-523-4555",
            "fax_number": "617-227-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST",
            "address_2": "SUITE 303",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142517",
            "telephone_number": "617-523-4555",
            "fax_number": "617-227-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY S. GOLDSTEIN, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "TERESE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "617-523-4555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles River Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rajshri Mainthia Gartland, MD
• Tracey Jae Gartner
• Katharine C Garvey, M.D.
• Ruth Harel Garvey
• Shannon Garvey
• Gary S. Perlmutter, M.D., P.C.
• Karen Garza-Aceves, MD
• Anna C Garza-Mayers, MD,PHD
• Stephanie Nicole Garza-Vela
• Jacqueline Marie Garza, MSW, M.ED

• General Practice Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.