MEDICARE: DR. JONATHAN F GOLDMAN DMD

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	CT7211	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	190000684	OTHER	CT	PTAN
2	83982	OTHER	CT	AETNA
3	020007211CT03	OTHER	CT	BLUE CROSS BLUE SHIELD
4	0146671004	OTHER	CT	CIGNA
5	4227283	OTHER	CT	AETNA
6	020007211CT04	OTHER	CT	BLUE CROSS BLUE SHIELD
7	750677	OTHER	CT	CONNECTICARE
8	0146671003	OTHER	CT	CIGNA
9	P1274198	OTHER	CT	OXFORD

General Provider Information

NPI Number	:	1568499218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN F GOLDMAN DMD

Provider Business Mailing Address
First Line	:	701 COTTAGE GROVE RD
Second Line	:
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-3080
Country	:	US
Telephone Number	:	860-242-6142
Fax Number	:	860-243-5211

Provider Business Practice Location Address
First Line	:	701 COTTAGE GROVE RD
Second Line	:
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-3080
Country	:	US
Telephone Number	:	860-242-6142
Fax Number	:	860-243-5211

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	03/05/2015

Similar Medicare Providers

1750388260 — GREATER HARTFORD NEPHROLOGY, LLC
Practice Location Address:

701 COTTAGE GROVE RD , SUITE B-220
BLOOMFIELD, CT
06002-3080

Practice Phone: 860-769-9866
Practice Fax: 860-769-7300

1275530685 — DR. MICHAEL N MOUSTAKAKIS MD
Practice Location Address:

701 COTTAGE GROVE RD , SUITE B220
BLOOMFIELD, CT
06002-3080

Practice Phone: 860-769-9866
Practice Fax: 860-769-7300

1093791204 — OKSANA KLOYZNER MD
Practice Location Address:

701 COTTAGE GROVE RD , SUITE F
BLOOMFIELD, CT
06002-3080

Practice Phone: 860-242-4000
Practice Fax: 860-243-8286

1710927892 — DR. ARI BENJAMIN GELLER D.O.
Practice Location Address:

701 COTTAGE GROVE RD , SUITE A210
BLOOMFIELD, CT
06002-3080

Practice Phone: 860-769-9866
Practice Fax: 860-769-7300

1053347641 — MORPHE'MD
Practice Location Address:

701 COTTAGE GROVE RD , BUILDING D210
BLOOMFIELD, CT
06002-3080

Practice Phone: 860-726-1400
Practice Fax: 860-726-9400

1508899212 — PSYCHOLOGICAL HEALTH ASSOCIATES LLC
Practice Location Address:

701 COTTAGE GROVE RD STE 302
BLOOMFIELD, CT
06002-3080

Practice Phone: 860-233-9772
Practice Fax: 860-236-9402

Directions to “ DR. JONATHAN F GOLDMAN DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.