Provider Demographics
NPI:1720118417
Name:GOKTUG, GURKAN (DDS, DMD)
Entity Type:Individual
Prefix:DR
First Name:GURKAN
Middle Name:
Last Name:GOKTUG
Suffix:
Gender:M
Credentials:DDS, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 BENEFIT ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-1504
Mailing Address - Country:US
Mailing Address - Phone:978-682-0296
Mailing Address - Fax:978-682-0296
Practice Address - Street 1:132B MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2434
Practice Address - Country:US
Practice Address - Phone:978-686-6212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA91961223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics