MEDICARE: ARTHUR L. GOLDVARG, D.D.S., P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	MD7345	MD

General Provider Information

NPI Number	:	1083633168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTHUR L. GOLDVARG, D.D.S., P.A.

Provider Business Mailing Address
First Line	:	1003 N POINT BLVD
Second Line	:	SUITE 601
City	:	BALTIMORE
State	:	MD
Zip	:	21224-3662
Country	:	US
Telephone Number	:	410-288-2040
Fax Number	:	410-288-2606

Provider Business Practice Location Address
First Line	:	1003 N POINT BLVD
Second Line	:	SUITE 601
City	:	BALTIMORE
State	:	MD
Zip	:	21224-3662
Country	:	US
Telephone Number	:	410-288-2040
Fax Number	:	410-288-2606

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ARTHUR LEWIS GOLDVARG
Credential	:	DDS
Telephone Number	:	410-288-2040

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	08/22/2020

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