Goldman, Jonathan F

Goldman, Jonathan F is an individual health care provider with primary practice located at 701 Cottage Grove Rd , Bloomfield CT 06002-3080. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Goldman, Jonathan F can be contacted via phone (860) 242-6142.

Contact Information

Primary practice address
701 Cottage Grove Rd Bloomfield CT 06002-3080
Phone: (860) 242-6142
Fax: (860) 243-5211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X CT7211 Connecticut

Profile Details

NPI number 1568499218
LBN Legal business name Goldman, Jonathan F
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Mar 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568499218 NPPES
Connecticut Other 190000684 PTAN
Connecticut Other 83982 PTAN
Connecticut Other 020007211CT03 PTAN
Connecticut Other 0146671004 PTAN
Connecticut Other 4227283 PTAN
Connecticut Other 020007211CT04 PTAN
Connecticut Other 750677 PTAN
Connecticut Other 0146671003 PTAN
Connecticut Other P1274198 PTAN

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