Individual provider · Type 1 NPI

Jason Michael Goldberg, DDS

Oral and Maxillofacial Surgery (Dentist) · Phoenix, AZ

NPI number 1447600119 Active

Practice location

6520 N 7th Ave Ste 5
Phoenix, AZ 85013

Mailing address

8107 E Via Del Futuro
Scottsdale, AZ 85258-3712

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD012125 (AZ)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X11912 (NC)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1447600119

Jason Michael Goldberg, DDS's National Provider Identifier is 1447600119, issued on Jun 14, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 9, 2024.