Dejan Golalic, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037875 Issued in PA

Practice address

3920 Market St Ste 100
Camp Hill, PA 17011-4202

Phone

(717) 737-4337

NPI assigned

Jun 29, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Verber Dental Group, PC

  dba Fox Dental, Ltd.

  • Dental Clinic/Center
  • Camp Hill, PA
  • NPI 1336215862
  NPD (past)

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1700014719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 MARKET ST STE 100",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114202",
            "telephone_number": "717-737-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 MARKET ST STE 100",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114202",
            "telephone_number": "717-737-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLALIC",
        "first_name": "DEJAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Goebel
• Heather Goesch
• Gary Edwin Goetz, RN
• Mercete Mona Gogo, RN
• Ana Golalic, DMD
• Steven Goldberg, PHYSICIAN ASSISTANT
• Marc E Goldman, CRNA
• Rebecca Golomb, TAXONOMY (RN)
• Curtis A. Goltz, D.O.
• Mishelle Gomez Cabral, RN

• General Practice Dentistry in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.