Individual provider · Type 1 NPI
Stephen Allen Goth, DMD
Oral and Maxillofacial Surgery (Dentist) · Lethbridge, CA
NPI number
1770738189
Active
Practice location
200 4th Avenue South, Suite 121
Lethbridge, CA T1J4C9
Fax (587) 425-1601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D12762 (MN) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 05654 (ZZ) |
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.
About NPI 1770738189
Stephen Allen Goth, DMD's National Provider Identifier is 1770738189, issued on Nov 26, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lethbridge, CA. The record was last updated on Sep 2, 2014.