Individual provider · Type 1 NPI

Robert Jay Goldman, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Port Jefferson Station, NY

NPI number 1427110428 Active

Practice location

6 Medical Dr
Port Jefferson Station, NY 11776-1594

Fax (631) 476-4635

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	026951 (NY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1427110428

Robert Jay Goldman, DDS's National Provider Identifier is 1427110428, issued on Dec 15, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jul 8, 2007.