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Dr. Ellen Goldberg, DDS
General Practice Dentistry in Lakewood, New Jersey
NPI 1619205168

Ellen Goldberg is a General Practice Dentistry based in Lakewood, NJ and is specialized in General Practice. Ellen Goldberg practices in Lakewood, NJ and has the professional credentials of DDS. The NPI Number for Ellen Goldberg is 1619205168 and holds a License No. 22DI01509500 (New Jersey).

The current practice location address for Ellen Goldberg is 1771 Madison Ave, Lakewood, NJ and can be reached out via phone at 732-364-2144 and via fax at 732-534-8064.

Location: 1771 Madison Ave, Lakewood, NJ, 08701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619205168
Provider Name
Ellen Goldberg
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1771 Madison Ave, Lakewood, NJ, 08701
Phone Number
732-364-2144
Fax Number
732-534-8064
Provider Enumeration Date
11/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0220396 05 NJ
institution
Provider Business Practice Location Address Details
Address
1771 Madison Ave
City
Lakewood
State
New Jersey
Zip
08701
Phone Number
732-364-2144
Fax Number
732-534-8064
person
Provider Business Mailing Address Details
Address
1771 Madison Ave
City
Lakewood
State
New Jersey
Zip
08701
Phone Number
732-364-2144
Fax Number
732-534-8064
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22DI01509500 (New Jersey)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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