Adam Goldberg, DDS

Individual provider Active NPI General Practice Dentistry · North Plainfield, NJ

NPI 1780149245 · NPPES record last updated Feb 8, 2019

Key facts

NPI
1780149245
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
22DI02732700 (NJ)
Practice address
176 Cedar St
North Plainfield, NJ 07060-3941
Phone
(908) 756-7619
NPI assigned
Feb 8, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
22DI02732700NJMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02732700 NJ Yes

Addresses

Primary practice location

176 Cedar St
North Plainfield, NJ 07060-3941

Mailing address

176 Cedar St
North Plainfield, NJ 07060-3941
Phone (908) 756-7619

Other providers in North Plainfield, NJ

All providers in North Plainfield, NJ · General Practice Dentistry in New Jersey

Sources for this page

Verify at the official NPI Registry.