# PEDIATRIC AND FAMILY DENTISTRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043597305
- **Authorized official:** SCOTT D GOLDMAN DDS (OWNER)
- **Authorized official phone:** (312) 310-4543

## Contact information

- **Practice address:** 15 S DRYDEN PL, ARLINGTON HEIGHTS, IL 60004-6369
- **Practice address phone:** (312) 310-4543
- **Mailing address:** 15 S DRYDEN PL, ARLINGTON HEIGHTS, IL 60004-6369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 019027333 | IL | Yes |

## Other

- **Enumeration date:** 11/14/2011
- **Last updated:** 06/17/2013