MARK J GOCH DDS PC – NPI #1043386253
Clinic/Center

MARK J GOCH DDS PC is an AHC clinic located in CANTON, GA. NPPES has assigned the NPI number 1043386253 to MARK J GOCH DDS PC on November 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. MARK J GOCH DDS PC is also known by the name CANTON DENTAL. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK J GOCH DDS PC below.

NPI Profile for
MARK J GOCH DDS PC

NPI Number
1043386253
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARK J GOCH DDS PC
Other Name: CANTON DENTAL
Primary location
230 RIVERSTONE PKWY
SUITE A
CANTON, GA 30114
Phone: (770) 479-5425 Fax: (770) 479-0291
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK GOCH
OWNER
Phone: (770) 479-5425
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.