DR. MICHAEL KEITH GOULSTON (NPI# 1992957203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992957203 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL KEITH GOULSTON |
| Credential | M.D., D.M.D. |
| Practice Address |
295 Durham Ave Suite 213 South Plainfield NJ 07080-2548 |
| Practice Telephone | 9082220040 |
| Practice Fax Number | 9082220041 |
| Mailing Telephone | 9082220040 |
| Mailing Fax Number | 9082220041 |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2014-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
22D102509200 | NJ | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS037951 | PA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
050810 | NY | Dental Providers |
| Street Address |
295 DURHAM AVE SUITE 213 |
| City | SOUTH PLAINFIELD |
| State | NJ |
| Zip Code | 07080-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073915369 | Oral and Maxillofacial Surgery and Implant Specialists of Middlesex | Clinic/Center | 295 Durham Ave, Suite 213, South Plainfield, NJ 07080-2548 | 2014-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184271165 | Jersey Dental | General Practice | 4917 Stelton Road, South Plainfield, NJ 07080 | 2019-08-23 |
| 1841746179 | Swati Gupta | Physical Therapist | 547 East Celebration Way, South Plainfield, NJ 07080 | 2016-08-28 |
| 1649626474 | Dungarvin New Jersey, LLC-delaney | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Delaney Ct, South Plainfield, NJ 07080 | 2016-05-11 |
| 1639542947 | Caringhouse Projects, Inc | Respite Care | 111 Jackson Avenue, South Plainfield, NJ 07080 | 2015-11-09 |
| 1861899932 | Joseph Njoroge Kimani | Nurse Practitioner | 123 Lexington Ave, South Plainfield, NJ 07080 | 2014-12-04 |
| 1134529738 | Brianna K. Carri | Physical Therapist | 4911 Stelton Rd, Suite 3, South Plainfield, NJ 07080 | 2014-09-02 |
| 1528312501 | Maritza Mgbako | Counselor | 9 Stacey Court, South Plainfield, NJ 07080 | 2012-10-30 |
| 1871843615 | Viraj Patel | Dermatology | 114 Lakeview Ave, South Plainfield, NJ 07080 | 2012-09-19 |
| 1538441027 | People With Purpose Inc. | Day Training, Developmentally Disabled Services | 137 Lee Place, South Plainfield, NJ 07080 | 2011-09-12 |
| 1962798728 | Ami Patel | Dentist | 3600 Park Ave, Suiten, South Plainfield, NJ 07080 | 2011-06-21 |
| Find all providers in zip 07080 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638861 | Riverside Oral Surgery - Edison | Dentist | 80 Route 27, Edison, NJ 08820-3985 | 2020-08-07 |
| 1881227056 | New Jersey Oral Surgery & Dental Implants LLC | Dentist | 87 Route 520, Morganville, NJ 07751-1241 | 2020-02-17 |
| 1003457441 | Madison Dentistry LLC | Dentist | 268 Main Street, Suite B, Madison, NJ 07940 | 2019-10-07 |
| 1508424284 | Posh Dental LLC | Dentist | 39 Tallman Pl Ste 2, Englewood, NJ 07631-2702 | 2019-05-29 |
| 1124598230 | Jc Oral Health Care Pa | Dentist | 103 Greene St Fl 2, Jersey City, NJ 07302-3868 | 2018-12-01 |
| 1801370366 | Palisades Park Dental P.C. | Dentist | 225 Broad Ave # 102, Palisades Park, NJ 07650-1588 | 2018-09-20 |
| 1881174969 | Bethel Oral Surgery & Implants, PC | Dentist | 1319 Anderson Ave Ste D, Fort Lee, NJ 07024-1734 | 2018-08-17 |
| 1790271641 | Morristown Oral Surgery & Implantology Associates LLC | Dentist | 290 Madison Ave Ste 1, Morristown, NJ 07960-7401 | 2018-07-03 |
| 1255826939 | Riverside Oral Surgery - Livingston | Dentist | 209 S Livingston Ave Ste 2, Livingston, NJ 07039-4042 | 2018-06-26 |
| 1295249456 | Pa Dental LLC | Dentist | 17 Main St Ste 301, Robbinsville, NJ 08691-1401 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PLAINFIELD |
| Zip Code | 07080 |
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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.