Provider Demographics
NPI:1285779819
Name:GOLDSTEIN, STEVEN (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:GOLDSTEIN
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 1:10752 N 89TH PLACE
Mailing Address - Street 2:SUITE 217
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6744
Mailing Address - Country:US
Mailing Address - Phone:480-614-1597
Mailing Address - Fax:480-614-1593
Practice Address - Street 1:10752 N 89TH PLACE
Practice Address - Street 2:SUITE 217
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6744
Practice Address - Country:US
Practice Address - Phone:480-614-1597
Practice Address - Fax:480-614-1593
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2017-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4175122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist