DR. STEPHEN L GOLDFADEN (NPI# 1417014457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417014457 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN L GOLDFADEN |
| Credential | DDS |
| Practice Address |
1905 Nw 13th St Gainesville FL 32609-3414 |
| Practice Telephone | 3523757776 |
| Practice Fax Number | 3523751039 |
| Mailing Telephone | 3523757776 |
| Mailing Fax Number | 3523751039 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN5901 | FL | Dental Providers |
| Street Address |
1905 NW 13TH ST |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32609-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244707 | Bright Dme LLC | Durable Medical Equipment & Medical Supplies | 4306 Nw 13th Street, Gainesville, FL 32609 | 2020-08-10 |
| 1144799537 | Kimberly Laverna Peterson | Home Health Aide | 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 | 2018-11-15 |
| 1548712318 | Rebecca Maligno | Social Worker | 825 Nw 23rd Ave Bldg 3 St A, Gainesville, FL 32609 | 2016-10-27 |
| 1023470960 | Laura J Perry | Counselor | 1707 North Main St, Family Medicine At Main, Gainesville, FL 32609 | 2016-03-21 |
| 1336543131 | Christine Brunetti | Pharmacist | 2500 N. Main St, Gainesville, FL 32609 | 2014-10-22 |
| 1114352713 | Samuel Jones IIi | Pharmacist | 2500 N. Main St., Gainesville, FL 32609 | 2013-09-13 |
| 1912348228 | Timothy Manning Rogers | Pharmacist | 2046 Ne Waldo Road, Room 2227, Gainesville, FL 32609 | 2013-07-15 |
| 1205277514 | Arthur Emrie Wharton | Pharmacist | 2046 Waldo Road, Ne, Suite 2200, Gainesville, FL 32609 | 2013-07-15 |
| 1003102864 | Rocky Mountain Holdings LLC | Ambulance | 4375 Ne 48th Ave, Gainesville, FL 32609 | 2011-06-21 |
| 1760774939 | Kyle Edwin Jersey | Registered Nurse | 1128 Ne 20th Place, Gainesville, FL 32609 | 2011-05-06 |
| Find all providers in zip 32609 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395919 | Stephen L. Goldfaden, Dds,pa | Dentist | 1905 Nw 13th St Ste 2, Gainesville, FL 32609-3414 | 2019-09-16 |
| 1093121857 | Sidni Manne | Dentist | 2360 Sw Archer Rd Apt 612, Gainesville, FL 32608-1016 | 2014-07-01 |
| 1699116004 | Jacob Matthew Pack | Dentist | 5843 Sw 85th St, Gainesville, FL 32608-8526 | 2013-07-13 |
| 1881940807 | Maha Alghofaily | Dentist | 3700 Windmeadows Blvd, Apt # 283, Gainesville, FL 32608-7698 | 2012-07-27 |
| 1700131737 | Thomas Patrick Currie | Dentist | 1185 Sw 9th Rd Apt 402, Gainesville, FL 32601-8280 | 2012-07-16 |
| 1881959609 | Kevin Paul Nygard | Dentist | 1395 Center Dr # D7-19, Gainesville, FL 32610-0406 | 2012-07-09 |
| 1427345750 | Deema Maria Saad | Dentist | 701 Sw 62nd Blvd, #113, Gainesville, FL 32607-6012 | 2011-07-07 |
| 1598801037 | Michael R Pichardo | Dentist | 7915 Lake Manassas Dr Ste 203, Gainesville, VA 20155-3259 | 2007-01-30 |
| 1548325343 | Frederick L Cox | Dentist | 3620 Nw 43rd St, Gainesville, FL 32606-8103 | 2006-12-22 |
| 1154421105 | Glenn Stewart Dean | Dentist | 340 Nw 76th Dr, Gainesville, FL 32607-1593 | 2006-09-22 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32609 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.