Goss, Michael William

Goss, Michael William is an sole proprietor health care provider with primary practice located at 4485 Wadsworth Blvd Suite 108, Wheat Ridge CO 80033-3318. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Goss, Michael William can be contacted via phone (303) 422-3800.

Contact Information

Primary practice address
4485 Wadsworth Blvd Suite 108 Wheat Ridge CO 80033-3318
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X HDL-04409 Colorado

Profile Details

NPI number 1699895748
LBN Legal business name Goss, Michael William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2007
Last updated Jul 8th, 2007 - about 17 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 1699895748 NPPES
Colorado MEDICAID 25926039

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