Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1114009800 Deactivated / Inactive NPI Male Practitioner

Dr. David Goren , DDS

Dentist - General Practice • Long Beach, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Goren has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 20, 2006
NPI Deactivation Date January 10, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. David Goren, DDS was a registered Dentist - General Practice practicing in Long Beach, CA. Throughout an active medical career spanning 18 years, Dr. Goren provided care at the practice location at 4200 N. LAKEWOOD BLVD until profile deactivation on 2024-01-10.

Practice Location & Contact Primary Location

Practice Address

4200 N. Lakewood Blvd

Long Beach, CA 90808

Telephone 5624201701
Fax 5624218447
Associated Practice Facility / Clinic
🏢 T.m.k. Dental Management Inc. Facility NPI 1891878799

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Long Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
186 Specialists

Practicing in Long Beach, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA B20865

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Maria Camacho , RDA

Dental Assistant

NPI 1033675350
Dr. Edward Perkal , DDS

Dentist - General Practice

NPI 1972686897

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 10, 2024

Record deactivated on January 10, 2024

NPI Profile Active September 11, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 11, 2013

Registered at 4200 N. LAKEWOOD BLVD, LONG BEACH, CA 90808 (Tel: 5624201701)

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Updated Business Mailing Address September 11, 2013

Registered at 4200 N. LAKEWOOD BLVD, LONG BEACH, CA 90808 (Tel: 5624201701)

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Provider Name / Credentials Updated September 11, 2013

Recorded as DAVID GOREN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2013

Dentist (License #B20865 in CA)

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Initial NPI Registration & Enumeration October 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114009800
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2006
Last Update: September 11, 2013
Deactivation Date: January 10, 2024

Mailing Address

4200 N. Lakewood Blvd

Long Beach, CA 90808

Phone: 5624201701

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.