Healthcare Provider Details

I. General information

NPI: 1902866544
Provider Name (Legal Business Name): DON AARON GOLDSMITH DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 10/16/2022
Certification Date: 10/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 N CITRUS RD
GOODYEAR AZ
85395-9204
US

IV. Provider business mailing address

19549 N CANYON WHISPER DR
SURPRISE AZ
85387-4402
US

V. Phone/Fax

Practice location:
  • Phone: 623-853-0304
  • Fax:
Mailing address:
  • Phone: 623-214-9974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number4378
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: