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Organization
EASTON ORAL AND MAXILLOFACIAL SURGERY CENTER
Active
Organization
EASTON ORAL AND MAXILLOFACIAL SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MICHAEL GOULD DMD (PRESIDENT)
(610) 253-3593
Entity
Organization
Contact information
Practice address
3360 NAZARETH RD, EASTON, PA 18045-2018
(610) 253-3593
(610) 559-9466
Mailing address
3360 NAZARETH RD, EASTON, PA 18045-2018
(610) 253-3593
(610) 559-9466
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/21/2006
Last updated
08/22/2020
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