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NPI Code Detail

MEDICARE: DAVID GOTEINER DDS LLC

MEDICARE: DAVID GOTEINER DDS LLC
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
11223P0300XPeriodonticsTC11188NJ

General Provider Information

NPI Number : 1164591145
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID GOTEINER DDS LLC
Provider Business Mailing Address
First Line : 2A NORTH RD
Second Line :
City : CHESTER
State : NJ
Zip : 07930-2308
Country : US
Telephone Number : 908-879-7709
Fax Number :
Provider Business Practice Location Address
First Line : 2 NORTH RD
Second Line : STE C
City : CHESTER
State : NJ
Zip : 07930-2318
Country : US
Telephone Number : 908-879-7709
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. DAVID GOTEINER
Credential : DDS
Telephone Number : 908-879-7709
Provider Enumeration Date : 11/06/2006
Last Update Date : 08/22/2020

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Directions to “DAVID GOTEINER DDS LLC ” Practice Location

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