Provider Demographics
NPI:1467538793
Name:GOLDSHER, VERNE MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:VERNE
Middle Name:MICHAEL
Last Name:GOLDSHER
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 1:78 BRICKYARD RD
Mailing Address - Street 2:
Mailing Address - City:ATHOL
Mailing Address - State:MA
Mailing Address - Zip Code:01337
Mailing Address - Country:US
Mailing Address - Phone:978-249-7444
Mailing Address - Fax:978-249-2352
Practice Address - Street 1:78 BRICKYARD RD
Practice Address - Street 2:
Practice Address - City:ATHOL
Practice Address - State:MA
Practice Address - Zip Code:01337
Practice Address - Country:US
Practice Address - Phone:978-249-7444
Practice Address - Fax:978-249-2352
Is Sole Proprietor?:No
Enumeration Date:2006-10-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA160131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice