Goldman, Scott D
Goldman, Scott D is an individual health care provider with primary practice located at 278 Memorial Dr , Crystal Lake IL 60014-6246. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Goldman, Scott D can be contacted via phone (815) 455-3110.Contact Information
Primary practice address
278 Memorial Dr
Crystal Lake IL 60014-6246
Phone: (815) 455-3110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 021002316 | Illinois |
Profile Details
| NPI number | 1245450113 |
|---|---|
| LBN Legal business name | Goldman, Scott D |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Nov 12th, 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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