EVAN SCOTT GOLDSTEIN (NPI# 1598742173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598742173 |
| Entity Type | Individual |
| Full Name | EVAN SCOTT GOLDSTEIN |
| Credential | DMD |
| Practice Address |
1839 Central Ave Albany NY 12205-4748 |
| Mailing Address |
415 N Grand Ave Pueblo CO 81003-3111 |
| Practice Telephone | 5184640402 |
| Practice Fax Number | 5184640409 |
| Mailing Telephone | 7195463333 |
| Mailing Fax Number | 7195463334 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
052265 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02667210 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558531541 | Evan Goldstein | Dentist | 100 Brooklyn Ave, Suite 1p-r, Freeport, NY 11520-3043 | 2008-03-05 |
| 1508040726 | Evan Brad Goldstein | Surgery | 44e 12th St Md1, New York, NY 10003-4667 | 2007-12-24 |
| 1467449033 | Evan D Goldstein | Emergency Medicine | 800 Meadows Rd, Boca Raton, FL 33486-2304 | 2005-09-29 |
| Street Address |
1839 CENTRAL AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-4748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750576757 | Bernice Cassandra Little-mundle | Dentist | 1839 Central Ave, Albany, NY 12205-4748 | 2007-09-12 |
| 1063615219 | Nassef Lancen | Dentist | 1839 Central Ave, Albany, NY 12205-4748 | 2007-06-06 |
| 1821046434 | Small Smiles Dentistry of Albany, LLC | Dentist | 1839 Central Ave, Albany, NY 12205-4748 | 2006-05-05 |
| 1497726590 | Edmise Forestal | Dentist | 1839 Central Ave, Albany, NY 12205-4748 | 2006-01-28 |
| 1265428643 | Gloria V Williams | Dentist | 1839 Central Ave, Albany, NY 12205-4748 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| 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 |
|---|---|---|---|---|
| 1245860345 | Hickory St LLC | Dentist | 637 Hickory St Nw Ste 110, Albany, OR 97321-1761 | 2020-01-17 |
| 1851945372 | Alaine Tay Shomali Prevish | Dentist | 409 1st Ave Nw, Albany, OR 97321-2227 | 2019-08-01 |
| 1053971028 | Richard Randall Mcneely | Dentist | 1725 Dawson Rd, Albany, GA 31707-3362 | 2019-06-20 |
| 1417438102 | David Levine | Dentist | 888 Western Ave, Albany, NY 12203-2532 | 2018-08-22 |
| 1417440223 | Megan Raiber | Dentist | 360 Railroad Ave, Albany, MN 56307-6201 | 2018-06-07 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1417290925 | Alexander Q Steres | Dentist | 1873 Western Ave Ste 200, Albany, NY 12203-5028 | 2013-04-03 |
| 1932447620 | Tina Jacob | Dentist | 5 Pine West Plz Ste 504, Albany, NY 12205-5587 | 2013-01-30 |
| 1669721452 | Centre' for Cosmetic Dentistry | Dentist | 2824 Gillionville Rd, Albany, GA 31721-2904 | 2012-09-07 |
| 1316222896 | Michael Jack Goger | Dentist | 1215 Hill St Se, Albany, OR 97322-3238 | 2011-10-17 |
| Find all providers in ALBANY | ||||
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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.