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NPI Code Detail

MEDICARE: ARIEL GOLDBERG DMD

MEDICARE:   ARIEL  GOLDBERG  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
11223G0001XGeneral Practice DentistryDS040780PA

General Provider Information

NPI Number : 1760878961
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIEL GOLDBERG DMD
Provider Business Mailing Address
First Line : 610 FILBERT ST
Second Line : APT. 1
City : PITTSBURGH
State : PA
Zip : 15232-1840
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1789 S BRADDOCK AVE STE 410
Second Line :
City : PITTSBURGH
State : PA
Zip : 15218-1881
Country : US
Telephone Number : 412-247-2310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2015
Last Update Date : 12/14/2020

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Directions to “ ARIEL GOLDBERG DMD” Practice Location

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