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Active NPI 1215141353 Individual Practitioner Male Practitioner

Dr. Jack William Goldey , DDS

Dentist - General Practice • Port Orange, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jack Goldey, DDS is a registered healthcare professional specializing in Dentist - General Practice in Port Orange, FL. Practice services are available at 3943 S NOVA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3943 S Nova Rd

Port Orange, FL 321274910

Telephone 3867619440
Fax 3867886992

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Port Orange, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Port Orange, FL (7473 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 FL 7265

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
Dr. Carl Honerlaw , DDS

Dentist - General Practice

NPI 1366655466

Doctor of Dental Surgery

Dr. Jenna Obeng , DMD

Dentist - General Practice

NPI 1548828346

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3943 S NOVA RD, PORT ORANGE, FL 321274910 (Tel: 3867619440)

📍
Updated Business Mailing Address July 08, 2007

Registered at 736 PRINGLE RD, PORT ORANGE, FL 321275823 (Tel: 3867614966)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK GOLDEY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #7265 in FL)

🟢
Initial NPI Registration & Enumeration May 09, 2007

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: 1215141353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

736 Pringle Rd

Port Orange, FL 321275823

Phone: 3867614966

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.