Goldberg, Avery Dean

Goldberg, Avery Dean is an individual health care provider with primary practice located at 2045 Lee Rd , Winter Park FL 32789-1836. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Goldberg, Avery Dean can be contacted via phone (407) 629-4444.

Contact Information

Primary practice address
2045 Lee Rd Winter Park FL 32789-1836
Fax: (407) 629-9078
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN19202 Florida

Profile Details

NPI number 1619178852
LBN Legal business name Goldberg, Avery Dean
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated May 22nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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