Provider Demographics
NPI:1063827038
Name:JOSHUA GOLDFEIN ENDODONTICS, LLC
Entity Type:Organization
Organization Name:JOSHUA GOLDFEIN ENDODONTICS, LLC
Other - Org Name:METROPOLITAN ENDODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:GOLDFEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-888-7811
Mailing Address - Street 1:141 ESSEX DR
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-2331
Mailing Address - Country:US
Mailing Address - Phone:201-888-7811
Mailing Address - Fax:
Practice Address - Street 1:401A S VAN BRUNT ST
Practice Address - Street 2:SUITE 402
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4600
Practice Address - Country:US
Practice Address - Phone:201-354-6201
Practice Address - Fax:201-354-6202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-27
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI024796001223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty