Brandon Nicholas Goza, DMD is a
Dentist - General Practice based in De Kalb, Mississippi. Brandon Nicholas Goza is licensed to practice in Mississippi (license number 3637-12) and his current practice location is
234 Church Ave, De Kalb, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 743-5921.
NPI number for Brandon Nicholas Goza is 1760744684 and his current mailing address is Po Box 70, De Kalb, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760744684.
Healthcare Provider's Profile
Full Name | Brandon Nicholas Goza |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 234 Church Ave, De Kalb, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760744684
- Provider Enumeration Date: 06/15/2012
- Last Update Date: 12/12/2023
Medical Identifiers
Medical identifiers for Brandon Nicholas Goza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760744684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 3637-12 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandon Nicholas Goza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brandon Nicholas Goza, DMD Po Box 70, De Kalb, MS 39328-0070 Ph: (601) 743-5921 | Brandon Nicholas Goza, DMD 234 Church Ave, De Kalb, MS 39328-9581 Ph: (601) 743-5921 |
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