Provider Demographics
NPI:1164591145
Name:DAVID GOTEINER DDS LLC
Entity Type:Organization
Organization Name:DAVID GOTEINER DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GOTEINER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:908-879-7709
Mailing Address - Street 1:2A NORTH RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2308
Mailing Address - Country:US
Mailing Address - Phone:908-879-7709
Mailing Address - Fax:
Practice Address - Street 1:2 NORTH RD
Practice Address - Street 2:STE C
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2318
Practice Address - Country:US
Practice Address - Phone:908-879-7709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTC111881223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty