Bryan M. Goldesberry, DMD

Dentist · Carbondale, IL

Individual Active NPI

NPI number 1598904591

Practice location

1366 E Main St
Carbondale, IL 62901-3144
Phone
(618) 549-0208
Fax
(618) 549-0182

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NPI record

NPI
1598904591
Entity type
Individual (Type 1)
Enumeration date
February 13, 2009
Last updated
December 16, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019-027825 IL

About Dr. Goldesberry

Bryan M. Goldesberry, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1366 E Main St, Carbondale, IL 62901-3144. The NPI number 1598904591 was assigned on February 13, 2009 and the record was last updated on December 16, 2011.

Dr. Goldesberry lists a license in the registry: #019-027825 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryan M. Goldesberry, DMD?

The NPI number is 1598904591.

What is the phone number of Dr. Goldesberry?

The phone number listed for the practice location is (618) 549-0208.

Where is Dr. Goldesberry located?

1366 E Main St, Carbondale, IL 62901-3144.

What is the taxonomy code for Dr. Goldesberry?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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