DR. Jack William Goldey, D.D.S.

NPI #1215141353 in Port Orange, Florida

Provider Information

NPI Number: 1215141353
Entity Type: Individual
Name: DR. Jack William Goldey, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: May 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3943 S NOVA RD
City: Port Orange
State: Florida
ZIP Code: 32127-4910
Phone: (386) 761-9440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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