Provider Demographics
NPI:1083633168
Name:ARTHUR L. GOLDVARG, D.D.S., P.A.
Entity Type:Organization
Organization Name:ARTHUR L. GOLDVARG, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:GOLDVARG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-288-2040
Mailing Address - Street 1:1003 N POINT BLVD
Mailing Address - Street 2:SUITE 601
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-3662
Mailing Address - Country:US
Mailing Address - Phone:410-288-2040
Mailing Address - Fax:410-288-2606
Practice Address - Street 1:1003 N POINT BLVD
Practice Address - Street 2:SUITE 601
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3662
Practice Address - Country:US
Practice Address - Phone:410-288-2040
Practice Address - Fax:410-288-2606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD73451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty