Provider Demographics
NPI:1306950332
Name:GOLDFINE, MELVIN DAVID (DMD)
Entity type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:DAVID
Last Name:GOLDFINE
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 1:770 RESEVOIR AVENUE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-4484
Mailing Address - Country:US
Mailing Address - Phone:401-942-0270
Mailing Address - Fax:401-464-9667
Practice Address - Street 1:770 RESEVOIR AVENUE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-4484
Practice Address - Country:US
Practice Address - Phone:401-942-0270
Practice Address - Fax:401-464-9667
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI1357122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIMG00238Medicaid