Individual provider · Type 1 NPI

Jeffrey Alan Goldberg, DDS

Oral and Maxillofacial Surgery (Dentist) · Syosset, NY

NPI number 1962484360 Active

Practice location

175 Jericho Tpke
Syosset, NY 11791-4532

Call (516) 921-2880 Map

Fax (516) 921-2889

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X041527 (NY)

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 1962484360

Jeffrey Alan Goldberg, DDS's National Provider Identifier is 1962484360, issued on Nov 19, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Syosset, NY. The record was last updated on Jul 8, 2007.