Provider Demographics
NPI:1366785495
Name:GOLD, STEVEN SCOTT (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:SCOTT
Last Name:GOLD
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 1:2006 NEW GARDEN RD.
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410
Mailing Address - Country:US
Mailing Address - Phone:336-286-1515
Mailing Address - Fax:336-286-1517
Practice Address - Street 1:2006 NEW GARDEN RD.
Practice Address - Street 2:SUITE 203
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410
Practice Address - Country:US
Practice Address - Phone:336-286-1515
Practice Address - Fax:336-286-1517
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC64841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice