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DR. BRENT ALLEN GOLDEN DDS MD NPI 1679779532


NPI Information

NPI: 1679779532
Provider Name: DR. BRENT ALLEN GOLDEN, DDS, MD
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Address:
207 W GORE ST STE 302
ORLANDO, FL
ZIP 32806
Phone: (407) 839-8407
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DR. Brent Allen Golden, DDS, MD is an oral maxillofacial surgery in Orlando, FL. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Brent Allen Golden, DDS, MD NPI is 1679779532. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

207 W GORE ST STE 302
ORLANDO, FL
ZIP 32806-014
Phone: (407) 839-8407
Fax: (407) 839-8446

The enumeration date for this NPI number is 6/26/2007 and was last updated on 6/20/2019.


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
1204E00000XOral & Maxillofacial SurgeryME123445FLORIDAYes

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
1014953200MEDICAIDFLORIDA

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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