Provider Demographics
NPI:1932474483
Name:GOLDSMITH, RICHARD HENRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:HENRY
Last Name:GOLDSMITH
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 1:35 EAST GRASSY SPRAIN ROAD. SUITE 507
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-4610
Mailing Address - Country:US
Mailing Address - Phone:914-961-2600
Mailing Address - Fax:914-779-9698
Practice Address - Street 1:35 EAST GRASSY SPRAIN ROAD. SUITE 507
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-4610
Practice Address - Country:US
Practice Address - Phone:914-961-2600
Practice Address - Fax:914-779-9698
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY028050-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist