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DR. LEONARD GOLDMAN PA NPI 1376892018


NPI Information

NPI: 1376892018
Provider Name: DR. LEONARD GOLDMAN, PA
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
12510 PROSPERITY DR
SUITE 250
SILVER SPRING, MD
ZIP 20904
Phone: (301) 622-2700
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DR. LEONARD GOLDMAN, PA is an oral and maxillofacial surgery clinic center in Silver Spring, MD. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. LEONARD GOLDMAN, PA NPI is 1376892018. The provider is registered as an organization entity type.

The provider's business location address is:

12510 PROSPERITY DR
SUITE 250
SILVER SPRING, MD
ZIP 20904-663
Phone: (301) 622-2700

The provider's authorized official is Leonard Jay Goldman .
The authorized official title is President and has the following contact phone number (301) 622-2700.

The enumeration date for this NPI number is 9/7/2012 and was last updated on 9/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0112XClinic/CenterOral and Maxillofacial Surgery8392MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U10092MEDICARE UPINMARYLAND
21639267172MEDICARE NSCMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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