Dr. Michael Golub, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Fort Lee, NJ. Individual provider (NPI-1).
NPI number1982198297
StatusActive
Last updated in NPPESMar 28, 2025
Details
- NPI
- 1982198297
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Golub
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2018
- Certification date
- Mar 28, 2025
- Last updated
- Mar 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 22DI02745500 | NJ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2185 Lemoine AveFort Lee, NJ 07024-6036
Phone 201-944-9208
Mailing address
2185 Lemoine AveFort Lee, NJ 07024-6036
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- Jonathane Soo Jeon, D.D.S.NPI 1609048701
- Grace Jiae KimNPI 1093207235
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All 11 Orthodontics and Dentofacial Orthopedics Dentistry providers in Fort Lee · All 1,054 providers in Fort Lee
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