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General NPI Number Information
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NPI Number | 1497930804
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Entity Type | Individual
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Provider Name | ANSHU GOEL D.M.D
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Gender | Female
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 109 MIDDLESEX ST
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City | LOWELL
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State | MA
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Zip | 01852-2112
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Country | US
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Telephone | 978-441-1999
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Fax | 978-441-0711
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Provider Business Mailing Address
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Address Line | 8 HIGHLAND ST
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City | SOUTHBOROUGH
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State | MA
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Zip | 01772-1912
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Country | US
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Telephone | 978-332-0000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 22048
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22048
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License Number State | MA
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