Provider Demographics
NPI:1780832865
Name:GOYAL, SAHIL (DMD)
Entity Type:Individual
Prefix:DR
First Name:SAHIL
Middle Name:
Last Name:GOYAL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9650 SANTIAGO RD
Mailing Address - Street 2:104
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-3957
Mailing Address - Country:US
Mailing Address - Phone:410-730-6020
Mailing Address - Fax:410-730-3523
Practice Address - Street 1:9650 SANTIAGO RD
Practice Address - Street 2:104
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3957
Practice Address - Country:US
Practice Address - Phone:410-730-6020
Practice Address - Fax:410-730-3523
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14250122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist