1881691855 NPI number — DR. CHOON TECK GOH D.M.D.

Table of content: DR. CHOON TECK GOH D.M.D. (NPI 1881691855)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881691855 NPI number — DR. CHOON TECK GOH D.M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GOH
Provider First Name:
CHOON
Provider Middle Name:
TECK
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GOH
Provider Other First Name:
PETER
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1881691855
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/06/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BFV DENTAL CLINIC MANNHEIM
Provider Second Line Business Mailing Address:
UNIT 29940
Provider Business Mailing Address City Name:
APO
Provider Business Mailing Address State Name:
AE
Provider Business Mailing Address Postal Code:
09086
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
496217304545
Provider Business Mailing Address Fax Number:
499318042524

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BFV DENTAL CLINIC
Provider Second Line Business Practice Location Address:
UNIT 29940
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09086
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
496217304545
Provider Business Practice Location Address Fax Number:
499318042524
Provider Enumeration Date:
07/05/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  DE00008396 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223G0001X , with the licence number: D7569 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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