Provider Demographics
NPI:1285912527
Name:GOLUBOW, STEVEN N (DMD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:N
Last Name:GOLUBOW
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 1:6443 ZEBULON RD
Mailing Address - Street 2:SUITE 3A & B
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31220-7638
Mailing Address - Country:US
Mailing Address - Phone:478-238-4460
Mailing Address - Fax:
Practice Address - Street 1:6443 ZEBULON RD
Practice Address - Street 2:SUITE 3A AND B
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31220-7638
Practice Address - Country:US
Practice Address - Phone:478-238-4460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0143211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice