Organization
JEFFREY GOLDER D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GOLDER D.D.S. (PRESIDENT)
(317) 882-7800
Entity
Organization
Contact information
Practice address
4800 W SMITH VALLEY RD, STE K, GREENWOOD, IN 46142-9198
(317) 882-7800
(317) 883-3098
Mailing address
4800 W SMITH VALLEY RD, STE K, GREENWOOD, IN 46142-9198
(317) 882-7800
(317) 883-3098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009171
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200279660-C
—
IN
Enumeration date
12/21/2015
Last updated
12/21/2015
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