Healthcare Provider Details

I. General information

NPI: 1245734599
Provider Name (Legal Business Name): GOLNAZ TOFIGHI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GOLDIE TOFIGHI

II. Dates (important events)

Enumeration Date: 03/21/2018
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 GERMANTOWN PIKE STE 112
PLYMOUTH MEETING PA
19462-7401
US

IV. Provider business mailing address

1020 BALTIMORE PIKE STE 350
GLEN MILLS PA
19342-1374
US

V. Phone/Fax

Practice location:
  • Phone: 610-994-1582
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDR60850666
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number062378
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDS042217
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: