# JEFFREY I GOLDBERG DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JEFFREY I GOLDBERG DDS PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306313150
- **Legal business name:** JEFFREY I GOLDBERG DDS PLLC
- **Authorized official:** DR. JEFFREY I GOLDBERG DDS (OWNER)
- **Authorized official phone:** (716) 636-2222

## Contact information

- **Practice address:** 1655 ELMWOOD AVE STE 100, ROCHESTER, NY 14620-3426
- **Practice address phone:** (716) 636-2222
- **Practice address fax:** (716) 636-2252
- **Mailing address:** 3980 SHERIDAN DR STE 401, AMHERST, NY 14226-1727
- **Mailing address phone:** (716) 636-2222
- **Mailing address fax:** (716) 636-2252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2018
- **Last updated:** 10/30/2018