Active NPIIndividual provider

Dr. Maxim Godko, DDS

Dentist, General Practice in Lawrenceville, New Jersey

NPI Number1558815365
Practice location
100 Federal City RD # 104B, Lawrenceville, NJ 08648-1664
Fax
888-575-1408
Last updated
July 25, 2019

Maxim Godko is a Dentist, General Practice based in Lawrenceville, NJ. Maxim Godko practices in Lawrenceville, NJ and has the professional credentials of DDS. The NPI Number for Maxim Godko is 1558815365 and holds a License No. 22DI02643700 (NJ). The current practice location address for Maxim Godko is 100 Federal City RD # 104B, Lawrenceville, NJ 08648-1664 and can be reached out via phone at 609-718-7997 and via fax at 888-575-1408.

Provider Profile Details

NPI Number
1558815365
Provider Name
Maxim Godko
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
100 Federal City RD # 104B, Lawrenceville, NJ 08648-1664
Phone Number
609-718-7997
Fax Number
888-575-1408
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2016
Last Update Date
July 25, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Federal City RD # 104B
Lawrenceville, NJ 08648-1664
Zip
08648-1664
Phone Number
609-718-7997
Fax Number
888-575-1408
Lawrenceville, NJ 08648Get directions →

Provider Business Mailing Address Details

Address
561 Monmouth RD
Route 537
Wrightstown, NJ 08562-2125
City
Wrightstown
State
NJ
Zip
08562-2125
Phone Number
609-758-2244
Fax Number
609-758-6773

License Information

License Number
22DI02643700
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Maxim Godko, DDS?

The NPI number of Dr. Maxim Godko, DDS is 1558815365. It was assigned on August 9, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Maxim Godko, DDS?

Dr. Maxim Godko, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02643700.

Where does Dr. Maxim Godko, DDS practice?

The practice location is 100 Federal City RD # 104B, Lawrenceville, NJ 08648-1664. The office can be reached at 609-718-7997 (phone) or 888-575-1408 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558815365 directly on the NPPES registry website.

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