Provider Demographics
NPI:1023130663
Name:ALLEN S. GOLDEY, D.D.S., P.A.
Entity type:Organization
Organization Name:ALLEN S. GOLDEY, D.D.S., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:GOLDEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:207-622-1919
Mailing Address - Street 1:PO BOX 125
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:ME
Mailing Address - Zip Code:04910-0125
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7 SCHOOL ST
Practice Address - Street 2:SUITE 2
Practice Address - City:ALBION
Practice Address - State:ME
Practice Address - Zip Code:04910-6501
Practice Address - Country:US
Practice Address - Phone:207-437-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME3700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty