MEDICARE: STEVEN S GOLD, 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	122300000X	Dentist	6484	NC

General Provider Information

NPI Number	:	1548337785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN S GOLD, D.D.S., P.A.

Provider Business Mailing Address
First Line	:	7 CORPORATE CENTER CT STE A
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27408-3839
Country	:	US
Telephone Number	:	336-286-1515
Fax Number	:	336-286-1517

Provider Business Practice Location Address
First Line	:	7 CORPORATE CENTER CT STE A
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27408-3839
Country	:	US
Telephone Number	:	336-286-1515
Fax Number	:	336-286-1517

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEVEN SCOTT GOLD
Credential	:	D.D.S.
Telephone Number	:	336-286-1515

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	03/04/2008

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