DR. MAXIM GODKO (NPI# 1558815365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558815365 |
| Entity Type | Individual |
| Full Name | DR. MAXIM GODKO |
| Credential | D.D.S. |
| Practice Address |
100 Federal City Rd # 104b Lawrenceville NJ 08648-1664 |
| Mailing Address |
561 Monmouth Rd Route 537 Wrightstown NJ 08562-2125 |
| Practice Telephone | 6097187997 |
| Practice Fax Number | 8885751408 |
| Mailing Telephone | 6097582244 |
| Mailing Fax Number | 6097586773 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2019-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI02643700 | NJ | Dental Providers |
| Street Address |
100 FEDERAL CITY RD # 104B |
| City | LAWRENCEVILLE |
| State | NJ |
| Zip Code | 08648-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902450224 | Deluxe Dentistry LLC | Clinic/Center | 100 Federal City Rd # 104b, Lawrenceville, NJ 08648-1664 | 2019-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763531 | Medlife Diagnostic Laboratories | Clinical Medical Laboratory | 1717 Brunswick Ave, Lawrence Twp, NJ 08648 | 2020-06-03 |
| 1770137226 | Andrew Corato | Specialist/Technologist | Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 | 2019-08-01 |
| 1457832149 | St. Mary's Assisted Living | Assisted Living Facility | One Bishops' Drive, Lawrenceville, NJ 08648 | 2018-08-22 |
| 1255832341 | Alma Garcia | Social Worker | 9 Gordon Avenue, Lawrenceville, NJ 08648 | 2018-02-23 |
| 1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
| 1982134722 | Cindy Johnson | Counselor | 8433 Town Court North, Lawrenceville, NJ 08648 | 2017-06-14 |
| 1306372719 | Adapt Performance and Rehab | Clinic/Center | 1080 Spruce Street, Suite A, Lawrence Township, NJ 08648 | 2017-05-04 |
| 1780123588 | Feliks Shtindler Md PC | Internal Medicine | 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 | 2017-02-14 |
| 1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
| 1508241803 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21302 Cedar Court, Lawrenceville, NJ 08648 | 2015-07-28 |
| Find all providers in zip 08648 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225660541 | Ama Dental Care LLC | Dentist | 3370 Sugarloaf Pkwy Ste G8, Lawrenceville, GA 30044-5486 | 2020-02-05 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
| 1194185983 | Lawrenceville Dentist Office, PC | Dentist | 918 Duluth Hwy, Suite B, Lawrenceville, GA 30043 | 2016-03-07 |
| 1558746974 | Haresh Modha | Dentist | 15 Collins Industrial Way Ste A, Lawrenceville, GA 30043-6029 | 2015-07-27 |
| 1205249570 | Heartland Dental Care of Georgia, P.C. | Dentist | 4795 Sugarloaf Pkwy, Lawrenceville, GA 30044-6984 | 2014-06-04 |
| 1528318508 | Reach Dental PC | Dentist | 845 Scenic Hwy, Suite#300, Lawrenceville, GA 30046-7101 | 2012-09-17 |
| 1467602037 | Frank Horting Jones | Dentist | 73 Hopatcong Dr, Lawrenceville, NJ 08648-4133 | 2008-09-19 |
| 1275707200 | Jennifer Lynn Mccoy | Dentist | 365 W Pike St Ste 101, Lawrenceville, GA 30046-4862 | 2008-04-22 |
| 1750554937 | Dr. Asha J Vellanki Dds PC | Dentist | 1575 Lawrenceville Hwy, Ste G, Lawrenceville, GA 30044-4605 | 2008-04-08 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 08648 |
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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.