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General NPI Number Information
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NPI Number | 1922919661
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Entity Type | Individual
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Provider Name | NATHAN GOLDSBERRY DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 1401 BRIDGE ST
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City | WASHINGTON
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State | NC
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Zip | 27889
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Country | US
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Telephone | 252-362-6020
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Fax |
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Provider Business Mailing Address
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Address Line | 25234 LAWTON AVE
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City | LOMA LINDA
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State | CA
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Zip | 92354-3541
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Country | US
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Telephone | 801-694-8345
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 14992
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License Number State | NC
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