Individual provider · Type 1 NPI

Michael Keith Goulston, MD, DMD

Oral and Maxillofacial Surgery (Dentist) · South Plainfield, NJ

NPI number 1992957203 Active

Practice location

295 Durham Ave, Suite 213
South Plainfield, NJ 07080-2548

Fax (908) 222-0041

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X050810 (NY)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS037951 (PA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X22D102509200 (NJ)

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 1992957203

Michael Keith Goulston, MD, DMD's National Provider Identifier is 1992957203, issued on Oct 17, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in South Plainfield, NJ. The record was last updated on Nov 18, 2014.