Individual
DR. MATTHEW GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 S COURT ST, CIRCLEVILLE, OH 43113-2178
(740) 334-4116
Mailing address
11349 TERWILLIGERS VALLEY LN, CINCINNATI, OH 45249-2745
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.24715
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811170160
—
OH
Enumeration date
05/10/2016
Last updated
11/30/2016
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