Active NPIIndividual providerSole proprietor

Dr. Michael K Goulston, MD, DMD

Dentist, Oral and Maxillofacial Surgery in South Plainfield, New Jersey

NPI Number1992957203
Practice location
295 Durham Ave, Suite 213, South Plainfield, NJ 07080-2548
Fax
908-222-0041
Last updated
November 18, 2014

Michael Keith Goulston is a Dentist, Oral and Maxillofacial Surgery based in South Plainfield, NJ. Michael Keith Goulston practices in South Plainfield, NJ and has the professional credentials of MD, DMD. The NPI Number for Michael Keith Goulston is 1992957203 and holds a License No. 050810 (NY). The current practice location address for Michael Keith Goulston is 295 Durham Ave, Suite 213, South Plainfield, NJ 07080-2548 and can be reached out via phone at 908-222-0040 and via fax at 908-222-0041.

Provider Profile Details

NPI Number
1992957203
Provider Name
Michael Keith Goulston
Credential
MD, DMD
Provider Entity Type
Individual
Gender
Male
Address
295 Durham Ave, Suite 213, South Plainfield, NJ 07080-2548
Phone Number
908-222-0040
Fax Number
908-222-0041
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
October 17, 2008
Last Update Date
November 18, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
295 Durham Ave
Suite 213
South Plainfield, NJ 07080-2548
Zip
07080-2548
Phone Number
908-222-0040
Fax Number
908-222-0041
South Plainfield, NJ 07080Get directions →

Provider Business Mailing Address Details

Address
295 Durham Ave
Suite 213
South Plainfield, NJ 07080-2548
City
South Plainfield
State
NJ
Zip
07080-2548
Phone Number
908-222-0040
Fax Number
908-222-0041

License Information

License Number (1)
050810
License State (1)
NY
Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (2)
DS037951
License State (2)
PA
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
License Number (3)
22D102509200
License State (3)
NJ
Taxonomy (3)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X

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. Michael K Goulston, MD, DMD?

The NPI number of Dr. Michael K Goulston, MD, DMD is 1992957203. It was assigned on October 17, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael K Goulston, MD, DMD?

Dr. Michael K Goulston, MD, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NY under license number 050810.

Where does Dr. Michael K Goulston, MD, DMD practice?

The practice location is 295 Durham Ave, Suite 213, South Plainfield, NJ 07080-2548. The office can be reached at 908-222-0040 (phone) or 908-222-0041 (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 1992957203 directly on the NPPES registry website.

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