| Joseph Goth Llc | |
|
980 Beaver Grade Rd Moon Township PA 15108-2774 | |
| (412) 262-5091 | |
| (412) 262-1090 |
| Full Name | Joseph Goth Llc |
|---|---|
| Speciality | Dentist |
| Location | 980 Beaver Grade Rd, Moon Township, Pennsylvania |
| Authorized Official Name and Position | Joseph Herman Goth (PRESIDENT) |
| Authorized Official Contact | 4122625091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Goth Llc 980 Beaver Grade Rd Moon Township PA 15108-2774 Ph: (412) 262-5091 | Joseph Goth Llc 980 Beaver Grade Rd Moon Township PA 15108-2774 Ph: (412) 262-5091 |
| NPI Number | 1346485265 |
|---|---|
| Provider Enumeration Date | 12/05/2008 |
| Last Update Date | 12/05/2008 |
| Medicare PECOS PAC ID | 5496805756 |
|---|---|
| Medicare Enrollment ID | O20090608000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346485265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | MD033127E (Pennsylvania) | Primary |
| Provider Name | Joseph H Goth |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1194775809 PECOS PAC ID: 2163572421 Enrollment ID: I20090608000146 |
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