Provider Demographics
NPI:1255664173
Name:GOULD, PAUL FRANCIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:FRANCIS
Last Name:GOULD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 ROUTE 52
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533
Mailing Address - Country:US
Mailing Address - Phone:845-896-7580
Mailing Address - Fax:845-896-7581
Practice Address - Street 1:1906 ROUTE 52
Practice Address - Street 2:SUITE B
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533
Practice Address - Country:US
Practice Address - Phone:845-896-7580
Practice Address - Fax:845-896-7581
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035892DENTIST122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist