| Scott D. Goldman, DDS, PC | |
|
2050 Larkin Ave Suite 100 Elgin IL 60123-4405 | |
| (847) 987-0322 | |
| Not Available |
| Full Name | Scott D. Goldman, DDS, PC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2050 Larkin Ave, Elgin, Illinois |
| Authorized Official Name and Position | Scott D. Goldman (PRESIDENT) |
| Authorized Official Contact | 8479870322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott D. Goldman, DDS, PC 2050 Larkin Ave Suite 100 Elgin IL 60123-4405 | Scott D. Goldman, DDS, PC 2050 Larkin Ave Suite 100 Elgin IL 60123-4405 Ph: (847) 987-0322 |
| NPI Number | 1235433012 |
|---|---|
| Provider Enumeration Date | 01/07/2011 |
| Last Update Date | 08/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235433012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 021002316 (Illinois) | Primary |
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