| Jay H. Goldstein Dds Inc. | |
|
3690 Orange Pl Ste 150 Beachwood OH 44122-4476 | |
| (216) 464-1700 | |
| Not Available |
| Full Name | Jay H. Goldstein Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 3690 Orange Pl Ste 150, Beachwood, Ohio |
| Authorized Official Name and Position | Jay H. Goldstein (PRESIDENT) |
| Authorized Official Contact | 2164641700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay H. Goldstein Dds Inc. 3690 Orange Pl Ste 150 Beachwood OH 44122-4476 Ph: () - | Jay H. Goldstein Dds Inc. 3690 Orange Pl Ste 150 Beachwood OH 44122-4476 Ph: (216) 464-1700 |
| NPI Number | 1912423039 |
|---|---|
| Provider Enumeration Date | 08/21/2017 |
| Last Update Date | 08/21/2017 |
| Medicare PECOS PAC ID | 5092077735 |
|---|---|
| Medicare Enrollment ID | O20180317000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912423039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14835 (Ohio) | Primary |
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