Healthcare Provider Details

I. General information

NPI: 1174452916
Provider Name (Legal Business Name): JUHI GOYAL DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10601 SAN JOSE BLVD STE 117
JACKSONVILLE FL
32257-6267
US

IV. Provider business mailing address

5046 STAGS LEAP LN
MOON TOWNSHIP PA
15108-9481
US

V. Phone/Fax

Practice location:
  • Phone: 904-483-3027
  • Fax: 904-483-3026
Mailing address:
  • Phone: 412-552-0118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: