npidexNPI registry + Medicare data

AVERY GOLDBERG, D.D.S.

Oral and Maxillofacial Surgery (Dentist) · WINTER PARK, FL

Individual Active Opted out of Medicare NPI 1619178852

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X✓DN19202FL

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2015-04-01 through 2027-04-01.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.