Provider Demographics
NPI:1538316559
Name:GOLDSTON, ANNA A (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:A
Last Name:GOLDSTON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 PARKINS MILL RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-2930
Mailing Address - Country:US
Mailing Address - Phone:864-651-0696
Mailing Address - Fax:
Practice Address - Street 1:6 PARKINS MILL RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2930
Practice Address - Country:US
Practice Address - Phone:864-651-0696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC69871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice